Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.01 / $2,967.77 / $6,522.00	Facility		$839.01	$2,967.77	$6,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $511.95 / $1,465.50	Professional		$264.00	$511.95	$1,465.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $266.16 / $535.34	Professional		$232.08	$266.16	$535.34
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,845.86 / $3,024.89 / $15,061.44	Facility		$1,845.86	$3,024.89	$15,061.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $491.78 / $578.57 / $588.87	Professional		$491.78	$578.57	$588.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $499.04 / $499.04	Facility		$499.04	$499.04	$499.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $550.55 / $988.85	Professional		$286.66	$550.55	$988.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $689.84 / $925.81 / $1,191.55	Professional		$689.84	$925.81	$1,191.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.13 / $3,732.55 / $7,116.43	Facility		$1,995.13	$3,732.55	$7,116.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $348.25 / $595.03	Professional		$300.02	$348.25	$595.03
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,756.48 / $2,952.51 / $7,252.25	Facility		$1,756.48	$2,952.51	$7,252.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $632.67 / $3,065.84 / $6,557.14	Facility		$632.67	$3,065.84	$6,557.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $535.79 / $1,316.93	Professional		$270.62	$535.79	$1,316.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $415.10 / $425.70 / $1,230.30	Professional		$415.10	$425.70	$1,230.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $499.04 / $499.04 / $499.04	Facility		$499.04	$499.04	$499.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $294.97 / $551.74 / $1,029.85	Professional		$294.97	$551.74	$1,029.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $447.77 / $693.12	Facility		$286.64	$447.77	$693.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $286.06 / $565.23 / $621.87	Professional		$286.06	$565.23	$621.87
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.16 / $679.17 / $1,072.28	Professional		$503.16	$679.17	$1,072.28