Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $135.21 / $457.43	Facility		$55.65	$135.21	$457.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $20.59 / $115.50	Professional		$11.52	$20.59	$115.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $17.07 / $22.76	Professional		$11.38	$17.07	$22.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $231.47 / $570.08 / $1,102.25	Facility		$231.47	$570.08	$1,102.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.09 / $13.13	Professional		$13.00	$13.09	$13.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $50.13 / $90.18	Professional		$48.30	$50.13	$90.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $45.78 / $84.04	Professional		$12.24	$45.78	$84.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $75.91 / $111.59	Professional		$58.67	$75.91	$111.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $109.25 / $458.74	Facility		$43.05	$109.25	$458.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $43.16 / $351.84	Professional		$9.80	$43.16	$351.84
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $239.63 / $543.19 / $1,102.25	Facility		$239.63	$543.19	$1,102.25
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.09 / $13.13	Professional		$13.00	$13.09	$13.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $206.17 / $574.90	Facility		$29.26	$206.17	$574.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $21.22 / $97.62	Professional		$11.71	$21.22	$97.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,136.60 / $5,281.69 / $8,350.25	Facility		$5,136.60	$5,281.69	$8,350.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $70.94 / $137.30	Professional		$16.84	$70.94	$137.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $45.78 / $87.28	Professional		$12.23	$45.78	$87.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $47.96 / $54.13	Facility		$12.23	$47.96	$54.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $47.31 / $52.06	Professional		$12.23	$47.31	$52.06
United Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $54.19 / $95.48	Professional		$43.25	$54.19	$95.48