Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.97 / $1,633.00 / $7,175.00	Facility		$252.97	$1,633.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $240.93 / $487.35	Professional		$139.60	$240.93	$487.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $161.19 / $225.69	Professional		$161.19	$161.19	$225.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,520.64 / $1,520.64 / $1,520.64	Professional		$1,520.64	$1,520.64	$1,520.64
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 $273.38 / $283.70 / $283.70	Professional		$273.38	$283.70	$283.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $257.91 / $443.71	Professional		$167.41	$257.91	$443.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $327.85	Professional		$10.00	$10.00	$327.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.90 / $1,640.26 / $3,153.73	Facility		$1,306.90	$1,640.26	$3,153.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $262.72 / $312.57	Professional		$183.77	$262.72	$312.57
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,520.64 / $1,520.64 / $1,520.64	Professional		$1,520.64	$1,520.64	$1,520.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $303.26 / $1,882.71 / $7,175.00	Facility		$303.26	$1,882.71	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $256.14 / $514.87	Professional		$163.16	$256.14	$514.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.15 / $250.10 / $387.60	Professional		$181.15	$250.10	$387.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $325.16 / $325.16 / $325.16	Facility		$325.16	$325.16	$325.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $269.63 / $492.70	Professional		$178.90	$269.63	$492.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $187.56 / $270.70	Facility		$174.15	$187.56	$270.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $244.91 / $289.70	Professional		$182.70	$244.91	$289.70
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 $228.82 / $291.06 / $507.86	Professional		$228.82	$291.06	$507.86