Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.51 / $837.63 / $7,564.73	Facility		$95.51	$837.63	$7,564.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $77.44 / $345.00	Professional		$29.60	$77.44	$345.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $91.14 / $165.26	Professional		$91.14	$91.14	$165.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $615.49 / $615.49	Professional		$615.49	$615.49	$615.49
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 $95.26 / $125.63 / $129.36	Professional		$95.26	$125.63	$129.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $67.90 / $148.19	Professional		$30.99	$67.90	$148.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $115.76 / $153.37	Professional		$19.20	$115.76	$153.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.14 / $1,518.19 / $2,306.48	Facility		$223.14	$1,518.19	$2,306.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $93.89 / $110.62	Professional		$32.17	$93.89	$110.62
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $615.49 / $615.49 / $615.49	Professional		$615.49	$615.49	$615.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $470.81 / $1,594.13 / $8,017.00	Facility		$470.81	$1,594.13	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $83.70 / $256.00	Professional		$30.64	$83.70	$256.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $66.20 / $135.46	Professional		$31.70	$66.20	$135.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $57.24 / $57.24	Facility		$57.24	$57.24	$57.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $69.14 / $152.07	Professional		$31.56	$69.14	$152.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $37.78 / $97.73	Facility		$33.22	$37.78	$97.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $60.14 / $105.81	Professional		$33.22	$60.14	$105.81
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 $61.22 / $102.32 / $173.61	Professional		$61.22	$102.32	$173.61