Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $1,020.00 / $8,017.00	Facility		$46.54	$1,020.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $93.89 / $204.72	Professional		$47.82	$93.89	$204.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $118.08 / $118.08	Professional		$118.08	$118.08	$118.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $115.10 / $195.59	Professional		$108.52	$115.10	$195.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $183.98 / $195.29	Professional		$112.88	$183.98	$195.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $103.17 / $185.11	Professional		$50.36	$103.17	$185.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $136.35 / $180.64	Professional		$7.20	$136.35	$180.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $29.96 / $892.00	Facility		$29.96	$29.96	$892.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $109.00 / $123.59	Professional		$87.83	$109.00	$123.59
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $115.10 / $195.59	Professional		$108.52	$115.10	$195.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $1,544.00 / $8,017.00	Facility		$105.22	$1,544.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $100.21 / $226.75	Professional		$49.33	$100.21	$226.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $111.70 / $159.41	Professional		$48.92	$111.70	$159.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $88.30 / $88.30	Facility		$88.30	$88.30	$88.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $103.69 / $203.04	Professional		$51.37	$103.69	$203.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $72.97 / $112.32	Facility		$50.66	$72.97	$112.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $91.25 / $120.95	Professional		$50.66	$91.25	$120.95
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $117.14 / $200.96	Professional		$87.37	$117.14	$200.96