Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $86.05 / $367.50	Professional		$63.90	$86.05	$367.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $63.03 / $100.00	Professional		$58.98	$63.03	$100.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $146.75 / $497.38	Professional		$133.41	$146.75	$497.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $80.70 / $139.47	Professional		$65.68	$80.70	$139.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $86.34 / $146.38	Professional		$63.32	$86.34	$146.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $105.22 / $137.66	Professional		$80.45	$105.22	$137.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $71.80 / $101.62	Professional		$68.86	$71.80	$101.62
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $146.75 / $497.38	Professional		$69.79	$146.75	$497.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $94.21 / $352.18	Professional		$63.92	$94.21	$352.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $104.69 / $206.70	Professional		$22.00	$104.69	$206.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $85.63 / $148.69	Professional		$63.32	$85.63	$148.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $68.34 / $75.40	Professional		$49.67	$68.34	$75.40
United Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $79.40 / $130.04	Professional		$59.86	$79.40	$130.04