Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $256.41 / $4,051.00	Facility		$91.20	$256.41	$4,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $99.61 / $309.18	Professional		$64.87	$99.61	$309.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $86.07 / $86.07	Professional		$86.07	$86.07	$86.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $88.35 / $151.56	Professional		$83.30	$88.35	$151.56
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 $90.73 / $144.80 / $159.46	Professional		$90.73	$144.80	$159.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $89.87 / $157.04	Professional		$63.48	$89.87	$157.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $140.16 / $144.28	Professional		$109.01	$140.16	$144.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.44 / $625.58 / $5,294.07	Facility		$430.44	$625.58	$5,294.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $88.86 / $104.04	Professional		$84.00	$88.86	$104.04
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $88.35 / $151.56	Professional		$83.30	$88.35	$151.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $988.00 / $5,868.00	Facility		$108.41	$988.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $103.64 / $299.00	Professional		$65.59	$103.64	$299.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $86.89 / $129.28	Professional		$71.80	$86.89	$129.28
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $127.79 / $127.79	Facility		$127.79	$127.79	$127.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $89.93 / $160.88	Professional		$66.62	$89.93	$160.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $73.86 / $88.40	Facility		$66.97	$73.86	$88.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $78.89 / $94.90	Professional		$72.37	$78.89	$94.90
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 $71.19 / $92.13 / $168.70	Professional		$71.19	$92.13	$168.70