Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $54.33 / $126.40	Facility		$34.81	$54.33	$126.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $42.35 / $63.76	Professional		$31.32	$42.35	$63.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $93.49 / $93.49	Professional		$93.49	$93.49	$93.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $58.78 / $67.23	Professional		$58.78	$58.78	$67.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $57.41 / $97.58	Professional		$48.80	$57.41	$97.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $51.05	Facility		$51.05	$51.05	$51.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $54.28	Professional		$49.99	$49.99	$54.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $76.58 / $114.06	Professional		$56.49	$76.58	$114.06
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $58.78 / $67.23	Professional		$58.78	$58.78	$67.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $54.33 / $202.82	Facility		$18.25	$54.33	$202.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $48.81 / $77.23	Professional		$33.04	$48.81	$77.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $51.05	Facility		$51.05	$51.05	$51.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $63.25	Professional		$49.99	$49.99	$63.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $41.71 / $68.38	Facility		$37.11	$41.71	$68.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $55.39 / $59.78	Professional		$37.11	$55.39	$59.78
United Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $72.64 / $123.67	Professional		$57.41	$72.64	$123.67