Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $1,426.00 / $6,432.00	Facility		$64.16	$1,426.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $63.20 / $248.95	Professional		$40.11	$63.20	$248.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $71.06 / $117.25	Professional		$50.16	$71.06	$117.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $68.97 / $119.97	Professional		$64.98	$68.97	$119.97
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 $68.73 / $99.26 / $126.48	Professional		$68.73	$99.26	$126.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $67.36 / $115.61	Professional		$41.66	$67.36	$115.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $81.59 / $107.82	Professional		$14.40	$81.59	$107.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.74 / $890.83 / $1,115.01	Facility		$188.74	$890.83	$1,115.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $68.27 / $88.31	Professional		$61.43	$68.27	$88.31
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $71.06 / $119.97	Professional		$64.98	$71.06	$119.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $1,901.00 / $7,799.00	Facility		$251.46	$1,901.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $66.12 / $192.09	Professional		$41.72	$66.12	$192.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $70.40 / $96.73	Professional		$42.36	$70.40	$96.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Facility		$76.47	$76.47	$76.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $67.97 / $123.44	Professional		$42.36	$67.97	$123.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $44.43 / $67.81	Facility		$43.53	$44.43	$67.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $61.19 / $72.29	Professional		$43.53	$61.19	$72.29
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $73.26 / $131.56	Professional		$60.02	$73.26	$131.56