Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $42.03 / $115.27	Facility		$22.65	$42.03	$115.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $39.86 / $53.39	Professional		$20.76	$39.86	$53.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $39.08 / $44.97	Professional		$23.79	$39.08	$44.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $44.25 / $194.88	Professional		$26.00	$44.25	$194.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $42.99 / $86.24	Professional		$41.42	$42.99	$86.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $48.00 / $63.00	Professional		$28.29	$48.00	$63.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $63.91 / $75.00	Professional		$48.51	$63.91	$75.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $45.06 / $45.44	Facility		$45.06	$45.06	$45.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $45.42 / $61.01	Professional		$28.30	$45.42	$61.01
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $41.60 / $194.88	Professional		$26.00	$41.60	$194.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $42.03 / $103.74	Facility		$23.12	$42.03	$103.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $42.65 / $66.13	Professional		$22.84	$42.65	$66.13
Optum Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $47.38 / $59.67	Professional		$39.89	$47.38	$59.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $45.64 / $61.96	Professional		$39.59	$45.64	$61.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $48.00 / $61.12	Professional		$29.00	$48.00	$61.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $27.49 / $50.86	Facility		$23.05	$27.49	$50.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $43.55 / $54.93	Professional		$23.05	$43.55	$54.93
United Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $50.88 / $91.31	Professional		$40.79	$50.88	$91.31