Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.46 / $1,426.00 / $6,432.00	Facility		$187.46	$1,426.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $134.21 / $313.10	Professional		$73.87	$134.21	$313.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $151.29 / $151.29	Professional		$151.29	$151.29	$151.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,988.45 / $1,988.45 / $1,988.45	Professional		$1,988.45	$1,988.45	$1,988.45
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 $144.81 / $172.17 / $258.38	Professional		$144.81	$172.17	$258.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $134.13 / $230.80	Professional		$80.87	$134.13	$230.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $224.49 / $231.24	Professional		$174.60	$224.49	$231.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $890.62 / $1,115.01	Facility		$511.50	$890.62	$1,115.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $145.05 / $174.06	Professional		$122.64	$145.05	$174.06
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,988.45 / $1,988.45 / $1,988.45	Professional		$1,988.45	$1,988.45	$1,988.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,819.00 / $7,799.00	Facility		$379.00	$1,819.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $136.09 / $325.06	Professional		$77.23	$136.09	$325.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $119.10 / $204.24	Professional		$82.63	$119.10	$204.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $148.05 / $148.05 / $148.05	Facility		$148.05	$148.05	$148.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $136.16 / $255.51	Professional		$83.80	$136.16	$255.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $84.06 / $143.04	Facility		$83.92	$84.06	$143.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $125.93 / $153.84	Professional		$83.68	$125.93	$153.84
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 $111.83 / $149.66 / $281.41	Professional		$111.83	$149.66	$281.41