Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $496.99 / $4,761.00	Facility		$139.12	$496.99	$4,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $93.06 / $207.56	Professional		$33.70	$93.06	$207.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $91.40 / $180.62	Professional		$70.28	$91.40	$180.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $98.98 / $169.96	Professional		$82.40	$98.98	$169.96
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 $95.73 / $151.18 / $166.30	Professional		$95.73	$151.18	$166.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $90.05 / $173.86	Professional		$36.38	$90.05	$173.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $149.08 / $153.53	Professional		$115.95	$149.08	$153.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.16 / $514.29 / $904.84	Facility		$201.16	$514.29	$904.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $96.19 / $150.06	Professional		$36.34	$96.19	$150.06
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $99.85 / $169.96	Professional		$82.40	$99.85	$169.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.08 / $764.88 / $5,800.49	Facility		$173.08	$764.88	$5,800.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $94.68 / $204.48	Professional		$34.71	$94.68	$204.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $100.44 / $135.59	Professional		$35.14	$100.44	$135.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $63.42 / $63.42	Facility		$63.42	$63.42	$63.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $90.40 / $174.63	Professional		$36.89	$90.40	$174.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $44.32 / $105.92	Facility		$36.85	$44.32	$105.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $96.56 / $105.78	Professional		$36.85	$96.56	$105.78
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $110.13 / $189.99	Professional		$87.12	$110.13	$189.99