Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $615.65 / $3,839.00	Facility		$118.15	$615.65	$3,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $119.09 / $273.79	Professional		$43.57	$119.09	$273.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $162.90 / $225.20	Professional		$87.86	$162.90	$225.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $125.16 / $462.53	Professional		$121.51	$125.16	$462.53
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 $119.36 / $190.03 / $208.47	Professional		$119.36	$190.03	$208.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $112.13 / $218.52	Professional		$45.19	$112.13	$218.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $186.37 / $192.15	Professional		$144.94	$186.37	$192.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $669.19 / $1,793.54	Facility		$172.81	$669.19	$1,793.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $119.76 / $163.91	Professional		$60.04	$119.76	$163.91
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $123.78 / $160.28	Professional		$121.51	$123.78	$160.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $1,124.13 / $5,627.00	Facility		$124.62	$1,124.13	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $119.09 / $266.86	Professional		$44.05	$119.09	$266.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $138.80 / $170.17	Professional		$43.93	$138.80	$170.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $79.36 / $79.36	Facility		$79.36	$79.36	$79.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $112.78 / $218.52	Professional		$46.13	$112.78	$218.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $55.59 / $133.13	Facility		$45.74	$55.59	$133.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $119.59 / $131.09	Professional		$45.74	$119.59	$131.09
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $137.99 / $229.74	Professional		$108.27	$137.99	$229.74