Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $38.43 / $80.23	Professional		$30.46	$38.43	$80.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.01 / $17.66 / $31.51	Professional	52	$15.01	$17.66	$31.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $39.64 / $54.56	Professional		$34.08	$39.64	$54.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $39.56 / $52.18	Professional		$34.27	$39.56	$52.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $37.51 / $103.94	Professional		$36.15	$37.51	$103.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $51.38 / $51.38	Facility		$34.00	$51.38	$51.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	52	$41.10	$41.10	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $42.65 / $71.59	Professional		$29.40	$42.65	$71.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $49.75 / $74.45	Professional		$41.73	$49.75	$74.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $57.19 / $66.86	Professional		$44.93	$57.19	$66.86
Highmark BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $45.42 / $49.81 / $62.41	Professional	22	$45.42	$49.81	$62.41
Highmark BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $22.64 / $29.76 / $32.77	Professional	52	$22.64	$29.76	$32.77
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $36.64 / $52.18	Professional		$34.27	$36.64	$52.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $41.93 / $88.99	Professional		$31.10	$41.93	$88.99
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $15.23 / $18.50 / $41.49	Professional	52	$15.23	$18.50	$41.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $58.70 / $58.70	Professional		$47.84	$58.70	$58.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $51.38	Facility		$34.00	$34.00	$51.38
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	52	$41.10	$41.10	$41.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $41.48 / $73.11	Professional		$28.98	$41.48	$73.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $36.11 / $58.00	Facility		$31.06	$36.11	$58.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $36.11 / $58.00	Professional		$30.94	$36.11	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $38.97 / $70.84	Professional		$31.06	$38.97	$70.84