Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $871.77 / $3,964.00	Facility		$240.69	$871.77	$3,964.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $229.23 / $494.79	Professional		$129.72	$229.23	$494.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $241.55 / $384.89	Professional		$231.33	$241.55	$384.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $262.45 / $445.47	Professional		$247.46	$262.45	$445.47
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 $243.97 / $248.76 / $248.76	Professional		$243.97	$248.76	$248.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $238.90 / $400.72	Professional		$144.94	$238.90	$400.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $394.48 / $406.65	Professional		$306.82	$394.48	$406.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.45 / $695.72 / $1,348.26	Facility		$293.45	$695.72	$1,348.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.78 / $255.19 / $409.47	Professional		$201.78	$255.19	$409.47
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $262.45 / $445.47	Professional		$247.46	$262.45	$445.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $965.00 / $4,211.00	Facility		$229.22	$965.00	$4,211.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $242.88 / $526.44	Professional		$136.44	$242.88	$526.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $204.83 / $364.74	Professional		$141.74	$204.83	$364.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $253.70 / $253.70	Facility		$253.70	$253.70	$253.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $239.19 / $421.65	Professional		$146.19	$239.19	$421.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $146.90 / $254.72	Facility		$145.53	$146.90	$254.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $211.39 / $274.51	Professional		$145.53	$211.39	$274.51
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 $200.94 / $254.73 / $438.03	Professional		$200.94	$254.73	$438.03