Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $1,069.32 / $5,793.46	Facility		$222.00	$1,069.32	$5,793.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $207.68 / $428.16	Professional		$114.98	$207.68	$428.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $161.99 / $205.61	Professional		$112.62	$161.99	$205.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,017.98 / $1,017.98 / $1,017.98	Professional		$1,017.98	$1,017.98	$1,017.98
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 $239.28 / $403.30 / $403.30	Professional		$239.28	$403.30	$403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $225.74 / $384.13	Professional		$146.81	$225.74	$384.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $287.45	Professional		$10.00	$10.00	$287.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.13 / $1,069.26 / $1,740.46	Facility		$446.13	$1,069.26	$1,740.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $233.18 / $260.23	Professional		$160.94	$233.18	$260.23
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,017.98 / $1,017.98 / $1,017.98	Professional		$1,017.98	$1,017.98	$1,017.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $253.47 / $1,340.00 / $5,868.00	Facility		$253.47	$1,340.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $212.68 / $444.04	Professional		$136.24	$212.68	$444.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $212.70 / $337.26	Professional		$151.37	$212.70	$337.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $271.33 / $271.33	Facility		$271.33	$271.33	$271.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $236.51 / $431.33	Professional		$151.37	$236.51	$431.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $146.09 / $156.37 / $236.99	Facility		$146.09	$156.37	$236.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $214.74 / $254.17	Professional		$152.63	$214.74	$254.17
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 $206.35 / $266.02 / $469.96	Professional		$206.35	$266.02	$469.96