Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $15.95	Facility		$14.72	$14.72	$15.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $16.14 / $21.14	Professional		$13.67	$16.14	$21.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $18.82 / $18.82	Professional		$17.20	$18.82	$18.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $23.40 / $45.03	Professional		$22.55	$23.40	$45.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $75.00	Facility		$36.26	$36.26	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $24.82 / $49.43	Professional		$13.39	$24.82	$49.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $32.11 / $60.00	Professional		$21.65	$32.11	$60.00
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $18.82 / $22.39	Professional		$17.20	$18.82	$22.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $14.72 / $15.95	Facility		$14.72	$14.72	$15.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $16.93 / $29.76	Professional		$14.20	$16.93	$29.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $45.40 / $45.40	Professional		$45.40	$45.40	$45.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $75.00	Facility		$36.26	$36.26	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $25.03 / $52.53	Professional		$13.39	$25.03	$52.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $22.31 / $26.57	Facility		$21.99	$22.31	$26.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $22.31 / $26.19	Professional		$21.81	$22.31	$26.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $24.15 / $36.76	Professional		$20.53	$24.15	$36.76