Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $77.52 / $180.60	Facility		$33.78	$77.52	$180.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $19.75 / $27.74	Professional		$17.28	$19.75	$27.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.08 / $24.08	Professional		$14.45	$24.08	$24.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $50.12 / $371.26	Facility		$20.91	$50.12	$371.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $148.15 / $8,639.91	Facility		$114.08	$148.15	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $18.78	Professional		$18.78	$18.78	$18.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $31.30 / $70.43	Facility		$16.12	$31.30	$70.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $25.13	Professional		$12.66	$12.66	$25.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $14.21 / $32.60	Professional		$11.08	$14.21	$32.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $64.73 / $102.70	Facility		$32.52	$64.73	$102.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.00 / $23.00	Professional		$14.45	$23.00	$23.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $47.38 / $111.12	Facility		$24.08	$47.38	$111.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $77.06 / $186.66	Facility		$37.04	$77.06	$186.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $19.75 / $99.45	Professional		$17.41	$19.75	$99.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $37.32 / $51.92	Facility		$36.11	$37.32	$51.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $32.06 / $80.41	Facility		$16.82	$32.06	$80.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $25.13	Professional		$12.66	$12.66	$25.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Professional		$36.33	$36.33	$36.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.41 / $41.90	Professional		$10.84	$15.41	$41.90