Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $282.30 / $3,327.00	Facility		$87.08	$282.30	$3,327.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $76.06 / $154.75	Professional		$47.06	$76.06	$154.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $102.40 / $125.82	Professional		$62.59	$102.40	$125.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $64.76 / $114.10	Professional		$51.90	$64.76	$114.10
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 $70.45 / $106.29 / $137.79	Professional		$70.45	$106.29	$137.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.00 / $259.00 / $259.00	Facility		$259.00	$259.00	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $68.33 / $123.92	Professional		$46.86	$68.33	$123.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $79.93 / $105.69	Professional		$21.60	$79.93	$105.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.91 / $542.00 / $1,147.10	Facility		$212.91	$542.00	$1,147.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $69.84 / $88.75	Professional		$61.42	$69.84	$88.75
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $66.37 / $114.10	Professional		$51.90	$66.37	$114.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.08 / $800.00 / $5,868.00	Facility		$87.08	$800.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $76.06 / $149.29	Professional		$49.41	$76.06	$149.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $68.70 / $93.76	Professional		$51.21	$68.70	$93.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $91.23 / $259.00	Facility		$91.23	$91.23	$259.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $68.38 / $126.48	Professional		$50.07	$68.38	$126.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $54.26 / $77.42	Facility		$52.87	$54.26	$77.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $63.81 / $69.61	Professional		$52.50	$63.81	$69.61
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 $57.60 / $71.93 / $125.13	Professional		$57.60	$71.93	$125.13