Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $1,301.00 / $8,017.00	Facility		$128.84	$1,301.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $114.18 / $269.20	Professional		$52.41	$114.18	$269.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $124.51 / $124.51	Professional		$124.51	$124.51	$124.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $70.39 / $121.94	Professional		$66.37	$70.39	$121.94
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 $131.97 / $136.96 / $217.62	Professional		$131.97	$136.96	$217.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $111.25 / $208.59	Professional		$54.68	$111.25	$208.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $159.58 / $211.43	Professional		$28.80	$159.58	$211.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.62 / $890.62 / $890.62	Facility		$890.62	$890.62	$890.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $131.22 / $150.91	Professional		$99.44	$131.22	$150.91
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $69.06 / $121.94	Professional		$66.37	$69.06	$121.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $491.28 / $1,633.00 / $8,017.00	Facility		$491.28	$1,633.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $120.17 / $258.61	Professional		$53.60	$120.17	$258.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $101.40 / $186.46	Professional		$56.15	$101.40	$186.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $101.38 / $101.38	Facility		$101.38	$101.38	$101.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $114.89 / $218.96	Professional		$57.14	$114.89	$218.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $69.09 / $132.86	Facility		$58.24	$69.09	$132.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $99.26 / $143.13	Professional		$58.24	$99.26	$143.13
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $577.00 / $3,742.00	Facility		$144.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $148.40 / $242.85	Professional		$99.99	$148.40	$242.85