Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $37.01 / $95.95	Facility		$17.55	$37.01	$95.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $36.79 / $52.17	Professional		$16.09	$36.79	$52.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $34.36 / $41.41	Professional		$30.93	$34.36	$41.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $37.02 / $60.25	Professional		$26.00	$37.02	$60.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $37.81 / $79.50	Professional		$36.43	$37.81	$79.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $44.00 / $57.25	Professional		$22.92	$44.00	$57.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $55.93 / $75.00	Professional		$42.55	$55.93	$75.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $41.08 / $41.10	Facility		$41.08	$41.08	$41.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $41.08 / $196.30	Professional		$22.23	$41.08	$196.30
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $37.64 / $60.25	Professional		$26.00	$37.64	$60.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $37.79 / $95.95	Facility		$17.93	$37.79	$95.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $39.90 / $104.04	Professional		$17.92	$39.90	$104.04
Optum Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $43.82 / $55.19	Professional		$36.71	$43.82	$55.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $42.21 / $55.38	Professional		$36.19	$42.21	$55.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $44.40 / $55.20	Professional		$24.00	$44.40	$55.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $21.65 / $46.88	Facility		$17.79	$21.65	$46.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $40.11 / $50.63	Professional		$17.79	$40.11	$50.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $46.37 / $80.62	Professional		$36.19	$46.37	$80.62