Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $54.07 / $73.14	Facility		$32.26	$54.07	$73.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $48.78 / $71.45	Professional		$30.68	$48.78	$71.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $96.23 / $96.23	Professional		$96.23	$96.23	$96.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $69.56	Professional		$60.80	$60.80	$69.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $80.76 / $121.37	Professional		$57.04	$80.76	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $65.80 / $112.80	Professional		$40.74	$65.80	$112.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $78.68 / $117.57	Professional		$58.04	$78.68	$117.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $63.49 / $63.49	Professional		$63.49	$63.49	$63.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $69.56	Professional		$60.80	$60.80	$69.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $49.22 / $63.61	Facility		$32.26	$49.22	$63.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $53.56 / $98.44	Professional		$32.26	$53.56	$98.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $84.30	Professional		$71.50	$71.50	$84.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $65.80 / $119.31	Professional		$40.74	$65.80	$119.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $46.79 / $70.52	Facility		$39.75	$46.79	$70.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $54.70 / $59.06	Professional		$39.75	$54.70	$59.06
United Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $71.02 / $115.66	Professional		$52.16	$71.02	$115.66