Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.16 / $1,569.00 / $6,012.00	Facility		$358.16	$1,569.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.17 / $418.43 / $1,148.04	Professional		$175.17	$418.43	$1,148.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $344.06 / $418.96 / $691.28	Professional		$344.06	$418.96	$691.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $381.19 / $404.29 / $686.90	Professional		$381.19	$404.29	$686.90
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 $400.78 / $431.61 / $691.28	Professional		$400.78	$431.61	$691.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $371.39 / $644.73	Professional		$176.71	$371.39	$644.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $483.59 / $640.46	Professional		$24.00	$483.59	$640.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.01 / $229.79 / $813.51	Facility		$134.01	$229.79	$813.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $377.98 / $448.97	Professional		$178.36	$377.98	$448.97
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $381.19 / $404.29 / $686.90	Professional		$381.19	$404.29	$686.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.75 / $1,819.00 / $7,197.00	Facility		$379.75	$1,819.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $418.43 / $1,148.04	Professional		$178.48	$418.43	$1,148.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $256.39 / $565.60	Professional		$177.19	$256.39	$565.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $319.83 / $319.83	Facility		$319.83	$319.83	$319.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $377.06 / $723.13	Professional		$177.19	$377.06	$723.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.23 / $232.47 / $397.32	Facility		$184.23	$232.47	$397.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $371.90 / $427.61	Professional		$184.23	$371.90	$427.61
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $428.87 / $730.12	Professional		$348.16	$428.87	$730.12