Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $72.68 / $105.54	Facility		$41.32	$72.68	$105.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $19.30 / $71.20	Professional		$10.22	$19.30	$71.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $30.90 / $30.90	Professional		$11.59	$30.90	$30.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $74.93 / $412.51	Facility		$26.02	$74.93	$412.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $120.43 / $8,639.91	Facility		$92.74	$120.43	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.06 / $15.06	Professional		$15.06	$15.06	$15.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $25.10 / $64.11	Facility		$12.69	$25.10	$64.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $22.13	Professional		$10.16	$10.16	$22.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.39 / $26.15	Professional		$8.88	$11.39	$26.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $54.07 / $104.63	Facility		$30.66	$54.07	$104.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $17.50 / $37.51	Professional		$11.59	$17.50	$37.51
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $70.70 / $161.40	Facility		$24.14	$70.70	$161.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $66.06 / $120.60	Facility		$28.38	$66.06	$120.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $19.30 / $79.75	Professional		$14.23	$19.30	$79.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $137.74 / $142.30 / $197.96	Facility		$137.74	$142.30	$197.96
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $25.90 / $64.11	Facility		$12.93	$25.90	$64.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $22.13	Professional		$10.16	$10.16	$22.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.30 / $23.90	Professional		$16.98	$19.30	$23.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $12.36 / $33.60	Professional		$8.69	$12.36	$33.60