Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $85.54 / $248.07	Facility		$5.57	$85.54	$248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $5.51 / $96.60	Professional		$2.47	$5.51	$96.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.11	Professional		$2.11	$2.11	$2.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $399.36 / $855.05	Facility		$2.29	$399.36	$855.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.68 / $8,459.92	Facility		$2.29	$2.68	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $2.56	Professional		$2.56	$2.56	$2.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.47 / $2.47	Facility		$2.33	$2.47	$2.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.68	Professional		$2.47	$2.47	$2.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.68 / $3.71	Professional		$2.56	$2.68	$3.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $37.33 / $768.18	Facility		$9.98	$37.33	$768.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $11.76 / $12.63	Professional		$3.10	$11.76	$12.63
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.69 / $820.95	Facility		$2.29	$2.69	$820.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $82.57 / $372.95	Facility		$3.60	$82.57	$372.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $5.51 / $96.60	Professional		$2.47	$5.51	$96.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.71 / $6,865.52 / $8,632.62	Facility		$776.71	$6,865.52	$8,632.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.90 / $27.40	Professional		$4.80	$5.90	$27.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $2.47 / $2.47	Facility		$2.33	$2.47	$2.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.99	Professional		$2.47	$2.47	$2.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.88	Facility		$2.48	$2.48	$2.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $2.88	Professional		$2.48	$2.48	$2.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.62 / $36.11	Professional		$2.47	$2.62	$36.11