Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $93.43 / $309.32	Facility		$22.16	$93.43	$309.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.77 / $85.70	Professional		$12.89	$15.77	$85.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $23.90 / $23.90	Professional		$14.81	$23.90	$23.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $144.00 / $1,653.60	Facility		$93.00	$144.00	$1,653.60
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 $15.56 / $16.14 / $26.51	Professional		$15.56	$16.14	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $23.04 / $32.04	Professional		$17.92	$23.04	$32.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $51.17 / $155.00	Facility		$46.00	$51.17	$155.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $27.37 / $28.19	Professional		$15.92	$27.37	$28.19
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $144.00 / $1,653.60	Facility		$15.81	$144.00	$1,653.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $79.45 / $309.32	Facility		$22.16	$79.45	$309.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $25.60 / $168.00	Professional		$13.92	$25.60	$168.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $44.90 / $44.90	Facility		$44.90	$44.90	$44.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $44.90 / $55.40	Professional		$24.60	$44.90	$55.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $15.10 / $36.29	Facility		$15.10	$15.10	$36.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $15.10 / $16.91	Professional		$14.81	$15.10	$16.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.01 / $29.34	Professional		$12.84	$17.01	$29.34