Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $66.97 / $5,313.43	Facility		$27.99	$66.97	$5,313.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $8,136.00	Professional		$27.99	$28.27	$8,136.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $32.90 / $28,295.26	Facility		$22.10	$32.90	$28,295.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $29.81 / $8,459.92	Facility		$25.45	$29.81	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $28.51 / $28.51	Professional		$28.51	$28.51	$28.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $27.99 / $27.99	Facility		$22.33	$27.99	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $25.68 / $45.69	Professional		$23.77	$25.68	$45.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $53.21 / $303.98	Facility		$23.54	$53.21	$303.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $26.35	Professional		$24.97	$24.97	$26.35
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $28.62 / $27,166.80	Facility		$22.10	$28.62	$27,166.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $66.97 / $5,313.43	Facility		$28.90	$66.97	$5,313.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.12 / $8,428.00	Professional		$27.99	$29.12	$8,428.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $41.43 / $125.50	Professional		$27.40	$41.43	$125.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $27.99 / $27.99	Facility		$22.33	$27.99	$27.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $33.20 / $38.52	Facility		$33.20	$33.20	$38.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $38.52	Professional		$33.20	$33.20	$38.52
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $48.24	Professional		$27.99	$29.67	$48.24