Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $106.90 / $112.70	Facility		$11.92	$106.90	$112.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $21.29 / $57.00	Professional		$14.90	$21.29	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $18.00 / $39.57	Professional		$12.23	$18.00	$39.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.67 / $22.60	Professional		$11.00	$11.67	$22.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $24.31	Professional		$24.31	$24.31	$24.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $9.92	Professional		$9.92	$9.92	$9.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $32.92 / $35.25	Professional		$25.53	$32.92	$35.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $143.09 / $372.36	Facility		$69.25	$143.09	$372.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $17.22 / $17.32	Professional		$16.43	$17.22	$17.32
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $22.60	Professional		$11.00	$11.00	$22.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $106.90 / $112.70	Facility		$11.92	$106.90	$112.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.02 / $53.00	Professional		$15.03	$23.02	$53.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $36.29 / $47.90	Professional		$29.90	$36.29	$47.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $9.92	Professional		$9.92	$9.92	$9.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $23.14 / $23.14	Facility		$14.26	$23.14	$23.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $23.14 / $23.14	Professional		$14.26	$23.14	$23.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.13 / $20.22	Professional		$9.26	$12.13	$20.22