Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $789.79 / $8,017.00	Facility		$106.88	$789.79	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $98.49 / $265.14	Professional		$43.94	$98.49	$265.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $221.02 / $221.02	Professional		$221.02	$221.02	$221.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $61.93 / $105.31	Professional		$58.39	$61.93	$105.31
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 $103.33 / $179.97 / $203.30	Professional		$103.33	$179.97	$203.30
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $117.14 / $179.97 / $216.71	Professional	50	$117.14	$179.97	$216.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $95.15 / $186.23	Professional		$47.07	$95.15	$186.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $141.00 / $186.54	Professional		$24.00	$141.00	$186.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.43 / $746.55 / $890.62	Facility		$419.43	$746.55	$890.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $113.30 / $128.94	Professional		$71.06	$113.30	$128.94
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $61.19 / $105.31	Professional		$58.39	$61.19	$105.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $202.62 / $1,544.00 / $8,017.00	Facility		$202.62	$1,544.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $106.88 / $244.92	Professional		$45.56	$106.88	$244.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $90.90 / $165.27	Professional		$45.74	$90.90	$165.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $82.89 / $82.89 / $82.89	Facility		$82.89	$82.89	$82.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $96.55 / $191.11	Professional		$48.03	$96.55	$191.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $62.85 / $119.07	Facility		$48.25	$62.85	$119.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $86.59 / $128.22	Professional		$48.25	$86.59	$128.22
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 $85.44 / $126.31 / $225.87	Professional		$85.44	$126.31	$225.87