Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $40.07 / $319.47	Facility		$34.69	$40.07	$319.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.79 / $46.45	Professional		$26.30	$33.79	$46.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $31.10 / $31.44	Professional		$31.10	$31.10	$31.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $31.33	Professional		$27.97	$27.97	$31.33
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 $31.64 / $32.84 / $54.97	Professional		$31.64	$32.84	$54.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $59.89	Facility		$59.89	$59.89	$59.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $45.56 / $65.40	Professional		$36.65	$45.56	$65.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $33.64 / $33.64	Professional		$33.64	$33.64	$33.64
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $31.33	Professional		$27.97	$27.97	$31.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $40.07 / $319.47	Facility		$34.69	$40.07	$319.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $34.58 / $47.68	Professional		$26.85	$34.58	$47.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $59.80 / $82.10	Professional		$40.00	$59.80	$82.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $31.05 / $31.05	Facility		$21.08	$31.05	$31.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $27.94 / $32.82	Professional		$23.02	$27.94	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $33.20 / $61.81	Professional		$22.51	$33.20	$61.81