Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.18 / $2,439.94 / $6,333.46	Facility		$350.18	$2,439.94	$6,333.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.84 / $282.55 / $668.37	Professional		$194.84	$282.55	$668.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.91 / $277.91 / $335.45	Professional		$277.91	$277.91	$335.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,253.94 / $1,658.79 / $10,554.95	Facility		$1,253.94	$1,658.79	$10,554.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $4,354.00 / $8,459.92	Facility		$1,350.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $288.43 / $586.34	Professional		$218.46	$288.43	$586.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $285.14 / $434.20	Professional		$195.21	$285.14	$434.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $345.26 / $346.62	Professional		$345.26	$345.26	$346.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.16 / $3,106.04 / $6,584.56	Facility		$1,488.16	$3,106.04	$6,584.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $229.75 / $302.57	Professional		$204.51	$229.75	$302.57
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,146.83 / $1,637.01 / $10,206.34	Facility		$1,146.83	$1,637.01	$10,206.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $350.18 / $2,428.00 / $6,813.46	Facility		$350.18	$2,428.00	$6,813.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.84 / $306.87 / $672.73	Professional		$194.84	$306.87	$672.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $287.49 / $545.20	Professional		$176.70	$287.49	$545.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $287.05 / $434.20	Professional		$212.39	$287.05	$434.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.23 / $217.43 / $366.55	Facility		$184.23	$217.43	$366.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $211.10 / $266.77	Professional		$184.23	$211.10	$266.77
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $4,789.00	Facility		$637.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.39 / $307.60 / $448.18	Professional		$216.39	$307.60	$448.18