Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.60 / $1,234.00 / $6,012.00	Facility		$152.60	$1,234.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $155.38 / $321.45	Professional		$89.70	$155.38	$321.45
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $154.38 / $154.38	Professional		$154.38	$154.38	$154.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $163.08 / $276.91	Professional		$153.76	$163.08	$276.91
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 $162.34 / $257.29 / $435.90	Professional		$162.34	$257.29	$435.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $153.63 / $297.39	Professional		$96.02	$153.63	$297.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $251.96 / $259.67	Professional		$195.97	$251.96	$259.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.45 / $876.88 / $1,135.76	Facility		$258.45	$876.88	$1,135.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.54 / $160.52 / $193.58	Professional		$129.54	$160.52	$193.58
Highmark BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $227.74 / $227.74 / $227.74	Professional	22	$227.74	$227.74	$227.74
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $163.08 / $276.91	Professional		$153.76	$163.08	$276.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,569.00 / $7,197.00	Facility		$379.00	$1,569.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $160.85 / $332.53	Professional		$91.29	$160.85	$332.53
Martin's Point Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $226.14 / $249.54	Professional		$92.58	$226.14	$249.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $165.91 / $165.91	Facility		$165.91	$165.91	$165.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $157.58 / $301.64	Professional		$97.21	$157.58	$301.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $151.37 / $195.02	Facility		$96.22	$151.37	$195.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $160.57 / $175.68	Professional		$96.13	$160.57	$175.68
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 $139.24 / $177.92 / $299.68	Professional		$139.24	$177.92	$299.68