Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $270.76 / $6,012.00	Facility		$45.62	$270.76	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $106.19 / $456.00	Professional		$44.64	$106.19	$456.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $110.87 / $219.54	Professional		$99.89	$110.87	$219.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $116.25 / $264.00	Professional		$116.25	$116.25	$264.00
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 $120.75 / $185.82 / $201.42	Professional		$120.75	$185.82	$201.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $93.37 / $184.85	Professional		$46.81	$93.37	$184.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $140.75 / $186.47	Professional		$24.00	$140.75	$186.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.36 / $518.15 / $892.00	Facility		$382.36	$518.15	$892.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $113.08 / $135.07	Professional		$65.00	$113.08	$135.07
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $116.25 / $264.00	Professional		$116.25	$116.25	$264.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $155.13 / $1,013.00 / $8,017.00	Facility		$155.13	$1,013.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $110.10 / $354.00	Professional		$45.87	$110.10	$354.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $85.90 / $164.48	Professional		$48.30	$85.90	$164.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $87.18	Facility		$87.18	$87.18	$87.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $97.07 / $189.35	Professional		$48.30	$97.07	$189.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $50.01 / $117.99	Facility		$46.95	$50.01	$117.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $83.22 / $127.22	Professional		$48.57	$83.22	$127.22
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 $80.83 / $118.79 / $210.56	Professional		$80.83	$118.79	$210.56