Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $79.36 / $221.96	Facility		$20.03	$79.36	$221.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $13.26 / $46.40	Professional		$12.94	$13.26	$46.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,894.07 / $2,477.15 / $2,580.05	Facility		$1,894.07	$2,477.15	$2,580.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $23.67 / $8,459.92	Facility		$20.12	$23.67	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $23.67 / $23.67	Professional		$23.67	$23.67	$23.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $204.11 / $322.24	Facility		$9.44	$204.11	$322.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,894.07 / $2,477.15 / $2,580.05	Facility		$1,894.07	$2,477.15	$2,580.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $106.66 / $288.99	Facility		$19.70	$106.66	$288.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.06 / $46.40	Professional		$12.94	$14.06	$46.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,027.93 / $3,128.84 / $4,352.63	Facility		$3,027.93	$3,128.84	$4,352.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $82.04 / $112.24	Professional		$55.41	$82.04	$112.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $93.31	Professional		$14.82	$14.82	$93.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $17.95	Professional		$13.00	$13.00	$17.95