Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.76 / $2,200.80 / $7,317.00	Facility		$579.76	$2,200.80	$7,317.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $547.00 / $1,104.25	Professional		$284.45	$547.00	$1,104.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $587.08 / $846.90 / $958.89	Professional		$587.08	$846.90	$958.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $588.22 / $623.87 / $1,061.75	Professional		$588.22	$623.87	$1,061.75
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 $624.46 / $687.67 / $1,100.58	Professional		$624.46	$687.67	$1,100.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.82 / $576.23 / $1,000.33	Professional		$297.82	$576.23	$1,000.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.50 / $966.21 / $995.11	Professional		$751.50	$966.21	$995.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.08 / $1,227.33 / $2,827.09	Facility		$708.08	$1,227.33	$2,827.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $612.16 / $716.61	Professional		$300.66	$612.16	$716.61
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $588.22 / $623.87 / $1,061.75	Professional		$588.22	$623.87	$1,061.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $917.79 / $2,543.00 / $8,017.00	Facility		$917.79	$2,543.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $290.16 / $579.11 / $1,240.68	Professional		$290.16	$579.11	$1,240.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $658.20 / $879.47	Professional		$298.55	$658.20	$879.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $538.88 / $538.88 / $538.88	Facility		$538.88	$538.88	$538.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $579.79 / $1,119.92	Professional		$298.55	$579.79	$1,119.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.92 / $374.46 / $615.34	Facility		$309.92	$374.46	$615.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.92 / $579.88 / $660.91	Professional		$309.92	$579.88	$660.91
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 $536.72 / $669.21 / $1,199.19	Professional		$536.72	$669.21	$1,199.19