Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.31 / $1,246.00 / $4,653.18	Facility		$145.31	$1,246.00	$4,653.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $135.66 / $348.11	Professional		$66.18	$135.66	$348.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $99.26 / $228.57	Professional		$71.33	$99.26	$228.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $77.56 / $131.54	Professional		$73.14	$77.56	$131.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $157.34 / $157.34	Professional		$151.62	$157.34	$157.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $143.69 / $244.80	Professional		$96.46	$143.69	$244.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $183.21 / $242.85	Professional		$24.00	$183.21	$242.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.38 / $931.81 / $1,864.26	Facility		$535.38	$931.81	$1,864.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $147.60 / $197.13	Professional		$126.94	$147.60	$197.13
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.97 / $131.54	Professional		$73.14	$73.97	$131.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $145.32 / $1,426.00 / $5,627.00	Facility		$145.32	$1,426.00	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $145.32 / $347.68	Professional		$80.13	$145.32	$347.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $153.40 / $217.61	Professional		$99.26	$153.40	$217.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $177.27 / $177.27	Facility		$177.27	$177.27	$177.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $150.19 / $274.06	Professional		$97.90	$150.19	$274.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $102.97 / $151.34	Facility		$91.01	$102.97	$151.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $126.75 / $162.85	Professional		$100.55	$126.75	$162.85
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $161.82 / $281.14	Professional		$123.56	$161.82	$281.14