Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $417.31 / $2,747.00	Facility		$153.91	$417.31	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $71.41 / $71.41 / $85.81	Facility	54	$71.41	$71.41	$85.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $136.66 / $253.31	Professional		$86.85	$136.66	$253.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $118.02 / $130.16	Professional		$114.55	$118.02	$130.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $687.48 / $18,005.04 / $35,032.58	Facility		$687.48	$18,005.04	$35,032.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $117.96 / $200.42	Professional		$114.52	$117.96	$200.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $5,044.89	Facility		$1,083.51	$1,395.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $199.08 / $215.58	Professional		$125.10	$199.08	$215.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $125.03 / $221.20	Professional		$96.87	$125.03	$221.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $150.05 / $198.65	Professional		$9.60	$150.05	$198.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.52 / $449.64 / $764.65	Facility		$267.52	$449.64	$764.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $122.22 / $189.53	Professional		$103.70	$122.22	$189.53
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $15,600.59 / $34,631.12	Facility		$266.27	$15,600.59	$34,631.12
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $130.16 / $205.30	Professional		$114.52	$130.16	$205.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $510.63 / $3,256.32	Facility		$156.01	$510.63	$3,256.32
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $71.41 / $71.41 / $85.81	Facility	54	$71.41	$71.41	$85.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $144.94 / $258.86	Professional		$92.39	$144.94	$258.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $746.70 / $771.59 / $1,003.93	Facility		$746.70	$771.59	$1,003.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $121.43 / $180.37	Professional		$90.00	$121.43	$180.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $178.33 / $178.33 / $178.33	Facility		$178.33	$178.33	$178.33
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $124.83 / $124.83 / $124.83	Facility	54	$124.83	$124.83	$124.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $129.82 / $229.15	Professional		$98.76	$129.82	$229.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $101.94 / $121.54	Facility		$86.40	$101.94	$121.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $108.60 / $130.16	Professional		$97.76	$108.60	$130.16
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 $98.65 / $124.65 / $215.98	Professional		$98.65	$124.65	$215.98