Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.40 / $882.00 / $8,017.00	Facility		$119.40	$882.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $109.26 / $368.42	Professional		$54.18	$109.26	$368.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $107.92 / $107.92	Professional		$107.92	$107.92	$107.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $69.37 / $117.69	Professional		$65.40	$69.37	$117.69
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 $132.11 / $193.90 / $193.90	Professional		$132.11	$193.90	$193.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $109.62 / $205.89	Professional		$57.17	$109.62	$205.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $159.57 / $211.45	Professional		$24.00	$159.57	$211.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.92 / $514.29 / $840.26	Facility		$429.92	$514.29	$840.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $124.57 / $154.69	Professional		$62.13	$124.57	$154.69
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $69.06 / $117.69	Professional		$65.40	$69.06	$117.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.52 / $1,633.00 / $8,017.00	Facility		$363.52	$1,633.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $119.40 / $280.13	Professional		$57.00	$119.40	$280.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $101.40 / $186.46	Professional		$58.96	$101.40	$186.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $106.46 / $106.46	Facility		$106.46	$106.46	$106.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $111.37 / $213.55	Professional		$59.32	$111.37	$213.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $61.19 / $132.65	Facility		$58.23	$61.19	$132.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $95.86 / $142.77	Professional		$59.45	$95.86	$142.77
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 $92.79 / $141.19 / $261.27	Professional		$92.79	$141.19	$261.27