Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.48 / $2,102.30 / $4,715.68	Facility		$204.48	$2,102.30	$4,715.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $171.68 / $391.64	Professional		$92.21	$171.68	$391.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $166.84 / $183.34	Professional		$166.84	$166.84	$183.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $196.71 / $332.04	Professional		$185.47	$196.71	$332.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $201.67 / $201.67	Professional		$194.34	$201.67	$201.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $192.51 / $343.01	Professional		$129.38	$192.51	$343.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $234.77 / $311.60	Professional		$43.20	$234.77	$311.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $850.33 / $1,640.26 / $3,249.48	Facility		$850.33	$1,640.26	$3,249.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $193.66 / $219.59	Professional		$161.90	$193.66	$219.59
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $196.71 / $332.04	Professional		$185.47	$196.71	$332.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $213.45 / $1,882.71 / $5,323.90	Facility		$213.45	$1,882.71	$5,323.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $183.71 / $391.64	Professional		$119.20	$183.71	$391.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $199.50 / $280.56	Professional		$141.36	$199.50	$280.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $252.61 / $252.61 / $252.61	Facility		$252.61	$252.61	$252.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $193.49 / $348.96	Professional		$136.99	$193.49	$348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.75 / $144.63 / $191.73	Facility		$128.75	$144.63	$191.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $173.79 / $205.68	Professional		$141.10	$173.79	$205.68
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,219.00 / $4,300.00	Facility		$412.00	$1,219.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $208.91 / $361.64	Professional		$164.14	$208.91	$361.64