Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $138.05 / $170.52	Facility		$74.00	$138.05	$170.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $23.71 / $30.41	Professional		$18.84	$23.71	$30.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $24.91 / $24.91	Professional		$22.65	$24.91	$24.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $26.92 / $33.47	Professional		$22.01	$26.92	$33.47
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $25.44 / $47.93	Professional		$24.52	$25.44	$47.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $26.31 / $40.86	Professional		$17.32	$26.31	$40.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $37.15 / $37.15	Professional		$28.81	$37.15	$37.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $67.53 / $67.53	Facility		$67.53	$67.53	$67.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $29.24 / $37.51	Professional		$26.27	$29.24	$37.51
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $26.92 / $32.79	Professional		$22.01	$26.92	$32.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $138.05 / $170.52	Facility		$74.00	$138.05	$170.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $24.29 / $38.46	Professional		$20.03	$24.29	$38.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $37.86	Professional		$27.40	$27.40	$37.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $26.31 / $41.80	Professional		$17.28	$26.31	$41.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $23.97 / $27.43	Professional		$21.69	$23.97	$27.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $25.62 / $38.03	Professional		$20.50	$25.62	$38.03