Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $292.82 / $325.85	Facility		$215.15	$292.82	$325.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $24.73 / $43.95	Professional		$17.75	$24.73	$43.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.51 / $11.00 / $14.91	Professional	52	$8.51	$11.00	$14.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $27.28 / $45.01	Professional		$24.94	$27.28	$45.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $34.11 / $82.34	Professional		$25.18	$34.11	$82.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $27.68 / $60.48	Professional		$26.67	$27.68	$60.48
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $26.67 / $27.70 / $60.48	Professional	50	$26.67	$27.70	$60.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Facility		$32.38	$32.38	$32.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $24.86 / $43.85	Professional		$17.13	$24.86	$43.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $23.92 / $40.70	Professional		$9.60	$23.92	$40.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $33.22 / $50.42	Professional		$30.77	$33.22	$50.42
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $30.77 / $30.77 / $33.19	Professional	50	$30.77	$30.77	$33.19
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $16.60 / $16.60 / $16.60	Professional	52	$16.60	$16.60	$16.60
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $31.13 / $82.34	Professional		$27.28	$31.13	$82.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $292.82 / $325.85	Facility		$215.15	$292.82	$325.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $25.80 / $47.36	Professional		$18.55	$25.80	$47.36
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $8.58 / $11.47 / $16.32	Professional	52	$8.58	$11.47	$16.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $35.90 / $40.92	Professional		$33.61	$35.90	$40.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Facility		$32.38	$32.38	$32.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $24.16 / $43.77	Professional		$16.07	$24.16	$43.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $26.76 / $46.83	Professional		$19.70	$26.76	$46.83
United Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $28.33 / $45.19	Professional		$21.74	$28.33	$45.19