Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.18 / $1,435.42 / $4,966.22	Facility		$227.18	$1,435.42	$4,966.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $342.67 / $1,150.58	Professional		$67.84	$342.67	$1,150.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $111.43 / $111.43	Professional		$111.43	$111.43	$111.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,041.12 / $7,252.25	Facility		$2,298.89	$3,041.12	$7,252.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $308.17 / $616.15 / $1,009.13	Professional		$308.17	$616.15	$1,009.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $350.29 / $843.87	Professional		$86.22	$350.29	$843.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.05 / $567.11 / $1,337.61	Professional		$550.05	$567.11	$1,337.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $728.60 / $3,052.28	Facility		$502.54	$728.60	$3,052.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.57 / $401.87 / $401.87	Professional		$314.57	$401.87	$401.87
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,931.66 / $3,001.19 / $6,952.18	Facility		$1,931.66	$3,001.19	$6,952.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $227.18 / $1,315.72 / $5,350.00	Facility		$227.18	$1,315.72	$5,350.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $342.67 / $1,150.58	Professional		$71.39	$342.67	$1,150.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.11 / $477.64 / $729.70	Professional		$96.11	$477.64	$729.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $373.16 / $855.40	Professional		$86.22	$373.16	$855.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.77 / $90.92 / $556.53	Facility		$75.77	$90.92	$556.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $363.99 / $402.84	Professional		$75.77	$363.99	$402.84
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.37 / $533.05 / $929.79	Professional		$389.37	$533.05	$929.79