Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $70.91 / $233.20	Facility		$20.26	$70.91	$233.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $16.61 / $27.82	Professional		$15.68	$16.61	$27.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $49.91	Professional		$26.62	$26.62	$49.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $142.19 / $201.05	Facility		$102.17	$142.19	$201.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Professional		$15.80	$15.80	$15.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $47.24	Facility		$33.71	$33.71	$47.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $27.35 / $50.04	Professional		$21.27	$27.35	$50.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $69.31 / $102.63	Facility		$69.09	$69.31	$102.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $40.29 / $52.81	Professional		$27.79	$40.29	$52.81
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $83.67 / $116.60	Facility		$20.26	$83.67	$116.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $23.30 / $83.67	Professional		$16.01	$23.30	$83.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $31.40 / $40.00	Professional		$22.80	$31.40	$40.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $47.24	Facility		$33.71	$33.71	$47.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $28.84	Professional		$20.26	$20.26	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.16 / $29.73	Professional		$8.51	$12.16	$29.73