Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.05 / $560.13 / $1,467.00	Facility		$163.05	$560.13	$1,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $109.95 / $332.73	Professional		$56.65	$109.95	$332.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $55.45 / $55.45	Professional		$55.45	$55.45	$55.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $458.09 / $1,609.97 / $3,132.53	Facility		$458.09	$1,609.97	$3,132.53
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 $111.86 / $116.08 / $116.08	Professional		$111.86	$116.08	$116.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $110.67 / $203.16	Professional		$57.50	$110.67	$203.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $174.33 / $180.38	Professional		$135.59	$174.33	$180.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $471.20 / $689.66	Facility		$213.20	$471.20	$689.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $109.56 / $111.97	Professional		$109.56	$109.56	$111.97
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $1,322.78 / $3,096.63	Facility		$208.40	$1,322.78	$3,096.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $594.00 / $1,633.00	Facility		$107.95	$594.00	$1,633.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $114.49 / $330.03	Professional		$57.06	$114.49	$330.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $281.77 / $1,003.93	Facility		$248.93	$281.77	$1,003.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $179.40 / $179.40	Professional		$59.76	$179.40	$179.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $100.68 / $100.68	Facility		$100.68	$100.68	$100.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $110.67 / $220.52	Professional		$58.22	$110.67	$220.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $108.12 / $152.71	Facility		$57.72	$108.12	$152.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $108.12 / $118.37	Professional		$57.72	$108.12	$118.37
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $134.61 / $212.53	Professional		$98.67	$134.61	$212.53