Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $415.04 / $4,211.00	Facility		$81.61	$415.04	$4,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $54.80 / $204.00	Professional		$27.38	$54.80	$204.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $52.85 / $96.20	Professional		$47.23	$52.85	$96.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $52.71 / $91.57	Professional		$44.40	$52.71	$91.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $90.40 / $100.09	Professional		$55.97	$90.40	$100.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $51.91 / $90.12	Professional		$27.29	$51.91	$90.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $67.17 / $88.88	Professional		$9.60	$67.17	$88.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $532.66 / $977.74	Facility		$154.04	$532.66	$977.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $55.10 / $77.84	Professional		$38.83	$55.10	$77.84
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $53.80 / $91.57	Professional		$44.40	$53.80	$91.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $1,013.00 / $6,432.00	Facility		$145.86	$1,013.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $56.20 / $159.86	Professional		$28.35	$56.20	$159.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $51.90 / $79.61	Professional		$27.61	$51.90	$79.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $49.85	Facility		$49.85	$49.85	$49.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $52.47 / $99.03	Professional		$28.02	$52.47	$99.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $29.73 / $55.19	Facility		$29.26	$29.73	$55.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $50.40 / $59.22	Professional		$29.26	$50.40	$59.22
United Facility/Professional Facility Modifier Low / Median / High Price $265.18 / $577.00 / $3,742.00	Facility		$265.18	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.00 / $101.09	Professional		$47.86	$58.00	$101.09