Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.89 / $1,571.02 / $5,142.20	Facility		$330.89	$1,571.02	$5,142.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $212.10 / $646.26	Professional		$73.81	$212.10	$646.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $121.10 / $127.56	Professional		$60.55	$121.10	$127.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,136.07 / $9,136.07 / $9,136.07	Facility		$9,136.07	$9,136.07	$9,136.07
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 $300.93 / $597.86 / $915.83	Professional		$300.93	$597.86	$915.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $340.78 / $788.19	Professional		$93.05	$340.78	$788.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.61 / $552.03 / $573.01	Professional		$416.61	$552.03	$573.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.39 / $1,486.15 / $2,385.85	Facility		$568.39	$1,486.15	$2,385.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.76 / $399.63 / $399.63	Professional		$285.76	$399.63	$399.63
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,136.07 / $9,136.07 / $11,574.67	Facility		$9,136.07	$9,136.07	$11,574.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $348.59 / $1,794.55 / $4,810.00	Facility		$348.59	$1,794.55	$4,810.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $224.40 / $1,056.83	Professional		$77.83	$224.40	$1,056.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $525.00 / $1,047.80	Professional		$3.00	$525.00	$1,047.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $342.55 / $817.86	Professional		$94.04	$342.55	$817.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $97.23 / $484.46	Facility		$82.74	$97.23	$484.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $353.06 / $389.88	Professional		$82.74	$353.06	$389.88
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.64 / $534.24 / $886.52	Professional		$398.64	$534.24	$886.52