Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.95 / $711.20 / $5,773.32	Facility		$222.95	$711.20	$5,773.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $202.71 / $789.27	Professional		$124.51	$202.71	$789.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $120.65 / $120.65	Professional		$120.65	$120.65	$120.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $2,594.00 / $5,296.01	Facility		$990.00	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $162.41 / $348.97	Professional		$156.51	$162.41	$348.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $328.00 / $328.00	Facility		$328.00	$328.00	$328.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $174.55 / $324.05	Professional		$100.57	$174.55	$324.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.84 / $240.22 / $246.98	Professional		$186.84	$240.22	$246.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.88 / $872.00 / $1,793.54	Facility		$482.88	$872.00	$1,793.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $154.15 / $154.15	Professional		$154.15	$154.15	$154.15
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $120.65 / $120.65	Professional		$120.65	$120.65	$120.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $1,301.00 / $5,958.00	Facility		$161.50	$1,301.00	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $212.68 / $789.27	Professional		$125.72	$212.68	$789.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $165.80 / $250.89	Professional		$165.80	$165.80	$250.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $172.10 / $328.00	Facility		$172.10	$172.10	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $177.42 / $334.81	Professional		$102.81	$177.42	$334.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $154.29 / $194.47	Facility		$98.01	$154.29	$194.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $152.74 / $165.13	Professional		$97.73	$152.74	$165.13
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 $137.03 / $177.80 / $300.52	Professional		$137.03	$177.80	$300.52