Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.80 / $2,326.00 / $6,012.00	Facility		$198.80	$2,326.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $161.99 / $533.00	Professional		$86.87	$161.99	$533.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $83.20 / $83.20	Professional		$83.20	$83.20	$83.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $179.12 / $302.74	Professional		$168.89	$179.12	$302.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,122.56 / $2,838.15 / $6,846.16	Facility		$2,122.56	$2,838.15	$6,846.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $175.50 / $182.13	Professional		$154.81	$175.50	$182.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $173.85 / $313.16	Professional		$123.10	$173.85	$313.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $211.19 / $279.89	Professional		$28.80	$211.19	$279.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,618.17 / $3,639.08 / $7,227.46	Facility		$1,618.17	$3,639.08	$7,227.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $175.22 / $195.95	Professional		$158.66	$175.22	$195.95
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $169.95 / $302.74	Professional		$168.89	$169.95	$302.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $193.86 / $2,301.56 / $7,175.00	Facility		$193.86	$2,301.56	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $176.12 / $477.93	Professional		$115.11	$176.12	$477.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $179.80 / $252.27	Professional		$129.15	$179.80	$252.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $229.37 / $229.37	Facility		$229.37	$229.37	$229.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $176.48 / $316.73	Professional		$126.56	$176.48	$316.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $131.66 / $174.03	Facility		$121.23	$131.66	$174.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $159.00 / $186.64	Professional		$128.61	$159.00	$186.64
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 $148.52 / $188.87 / $331.11	Professional		$148.52	$188.87	$331.11