Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.03 / $2,425.46 / $5,668.08	Facility		$551.03	$2,425.46	$5,668.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $304.64 / $847.57	Professional		$188.59	$304.64	$847.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $212.64 / $351.29	Professional		$142.11	$212.64	$351.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,102.54 / $3,001.19 / $12,026.31	Facility		$2,102.54	$3,001.19	$12,026.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $468.57 / $486.26 / $742.68	Professional		$468.57	$486.26	$742.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,235.59 / $2,434.58	Facility		$429.00	$1,235.59	$2,434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $359.61 / $886.55	Professional		$200.78	$359.61	$886.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $426.36 / $426.36 / $426.36	Facility		$426.36	$426.36	$426.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $568.29 / $834.60	Professional		$237.50	$568.29	$834.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.07 / $3,792.96 / $7,666.09	Facility		$1,359.07	$3,792.96	$7,666.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $249.20 / $378.24	Professional		$224.78	$249.20	$378.24
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,931.66 / $2,934.86 / $7,252.25	Facility		$1,931.66	$2,934.86	$7,252.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $488.92 / $2,381.00 / $5,995.08	Facility		$488.92	$2,381.00	$5,995.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $188.71 / $416.32 / $1,056.00	Professional		$188.71	$416.32	$1,056.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $273.80 / $1,742.73 / $1,742.73	Facility		$273.80	$1,742.73	$1,742.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $387.50 / $1,090.59	Professional		$249.29	$387.50	$1,090.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $329.07 / $1,225.90 / $2,316.65	Facility		$329.07	$1,225.90	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $365.35 / $886.55	Professional		$205.97	$365.35	$886.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $232.71 / $479.22	Facility		$189.29	$232.71	$479.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $370.12 / $517.29	Professional		$189.29	$370.12	$517.29
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,631.00 / $3,742.00	Facility		$553.00	$1,631.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $486.26 / $829.57	Professional		$211.20	$486.26	$829.57