Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $56.99 / $94.47	Facility		$44.13	$56.99	$94.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $55.30 / $99.00	Professional		$42.11	$55.30	$99.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $59.61 / $67.90	Professional		$57.54	$59.61	$67.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Professional		$61.88	$61.88	$61.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $90.10 / $123.39	Professional		$61.88	$90.10	$123.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $67.09 / $108.97	Professional		$46.10	$67.09	$108.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $102.48 / $102.48	Facility		$102.48	$102.48	$102.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $92.12 / $127.31	Professional		$71.53	$92.12	$127.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $70.68 / $78.37	Professional		$64.25	$70.68	$78.37
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Professional		$61.88	$61.88	$61.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $56.99 / $131.00	Facility		$44.13	$56.99	$131.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $63.41 / $131.00	Professional		$44.13	$63.41	$131.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Facility		$22.70	$22.70	$22.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $58.38 / $131.10	Professional		$22.70	$58.38	$131.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $70.63	Facility		$63.30	$63.30	$70.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $67.09 / $110.33	Professional		$46.65	$67.09	$110.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $66.55 / $75.01	Facility		$60.16	$66.55	$75.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $66.55 / $73.69	Professional		$66.55	$66.55	$73.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $71.34 / $126.01	Professional		$56.75	$71.34	$126.01