Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $41.98 / $81.80	Facility		$23.70	$41.98	$81.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $41.22 / $74.41	Professional		$17.01	$41.22	$74.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.00 / $128.00 / $128.00	Professional	25	$64.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $43.61 / $65.79	Professional		$38.57	$43.61	$65.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $49.66 / $66.42	Professional		$46.82	$49.66	$66.42
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 $43.51 / $45.16 / $86.85	Professional		$43.51	$45.16	$86.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $67.03 / $90.27	Professional		$52.06	$67.03	$90.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $69.41 / $109.27	Facility		$21.61	$69.41	$109.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $49.75	Professional		$49.75	$49.75	$49.75
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $49.20 / $82.08	Professional		$46.82	$49.20	$82.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $48.20 / $81.80	Facility		$23.70	$48.20	$81.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $41.98 / $80.22	Professional		$18.23	$41.98	$80.22
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $64.00 / $64.00 / $128.00	Professional	25	$64.00	$64.00	$128.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $67.15 / $101.90	Professional		$22.82	$67.15	$101.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $41.61 / $41.61	Facility		$17.89	$41.61	$41.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $36.03 / $44.69	Professional		$17.89	$36.03	$44.69
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $46.58 / $76.38	Professional		$36.74	$46.58	$76.38