Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.54 / $988.00 / $6,012.00	Facility		$164.54	$988.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $164.54 / $572.79	Professional		$94.27	$164.54	$572.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $165.02 / $235.74	Professional		$149.47	$165.02	$235.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $175.59 / $299.64	Professional		$165.56	$175.59	$299.64
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 $180.69 / $291.63 / $291.63	Professional		$180.69	$291.63	$291.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $163.19 / $280.30	Professional		$101.59	$163.19	$280.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $268.64 / $276.52	Professional		$208.94	$268.64	$276.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.37 / $678.28 / $917.68	Facility		$345.37	$678.28	$917.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $174.13 / $228.05	Professional		$142.97	$174.13	$228.05
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $175.59 / $299.64	Professional		$165.56	$175.59	$299.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $399.89 / $1,544.00 / $7,175.00	Facility		$399.89	$1,544.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.43 / $178.02 / $521.05	Professional		$98.43	$178.02	$521.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $149.60 / $244.81	Professional		$103.99	$149.60	$244.81
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $186.61 / $186.61	Facility		$186.61	$186.61	$186.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $166.97 / $312.27	Professional		$105.74	$166.97	$312.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $112.07 / $173.00	Facility		$107.24	$112.07	$173.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $153.77 / $185.63	Professional		$107.15	$153.77	$185.63
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $186.39 / $318.18	Professional		$143.38	$186.39	$318.18