Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.23 / $1,443.00 / $6,012.00	Facility		$370.23	$1,443.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $374.68 / $758.25	Professional		$221.25	$374.68	$758.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $354.01 / $708.54	Professional		$194.36	$354.01	$708.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,500.05 / $1,500.05 / $1,500.05	Professional		$1,500.05	$1,500.05	$1,500.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $396.81 / $404.59 / $404.59	Professional		$396.81	$404.59	$404.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.89 / $403.43 / $750.07	Professional		$253.89	$403.43	$750.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $637.44 / $656.97	Professional		$495.79	$637.44	$656.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $646.50 / $1,416.14 / $2,697.94	Facility		$646.50	$1,416.14	$2,697.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $412.41 / $469.99	Professional		$256.13	$412.41	$469.99
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,500.05 / $1,500.05 / $1,500.05	Professional		$1,500.05	$1,500.05	$1,500.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $388.74 / $1,633.00 / $7,175.00	Facility		$388.74	$1,633.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $394.45 / $844.14	Professional		$225.30	$394.45	$844.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $364.40 / $586.17	Professional		$241.80	$364.40	$586.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $434.87 / $434.87 / $434.87	Facility		$434.87	$434.87	$434.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $258.48 / $408.48 / $773.28	Professional		$258.48	$408.48	$773.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $298.31 / $412.74	Facility		$249.60	$298.31	$412.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $394.63 / $442.53	Professional		$249.60	$394.63	$442.53
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 $350.45 / $451.01 / $792.82	Professional		$350.45	$451.01	$792.82