Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.17 / $1,751.30 / $5,627.00	Facility		$284.17	$1,751.30	$5,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $269.67 / $528.09	Professional		$172.98	$269.67	$528.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $264.02 / $466.34	Professional		$139.90	$264.02	$466.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $308.45 / $327.14 / $441.67	Professional		$308.45	$327.14	$441.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $279.86 / $290.42 / $403.30	Professional		$279.86	$290.42	$403.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.57 / $365.00 / $795.00	Facility		$293.57	$365.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $283.25 / $503.49	Professional		$186.08	$283.25	$503.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.86 / $436.86 / $436.86	Facility		$436.86	$436.86	$436.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.27 / $450.30 / $575.35	Professional		$336.27	$450.30	$575.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.16 / $2,209.91 / $3,520.20	Facility		$358.16	$2,209.91	$3,520.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $334.26 / $495.70	Professional		$211.52	$334.26	$495.70
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $308.45 / $631.78	Professional		$292.83	$308.45	$631.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.47 / $1,777.00 / $5,958.00	Facility		$280.47	$1,777.00	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $321.39 / $672.35	Professional		$189.09	$321.39	$672.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $179.70 / $363.40 / $363.40	Facility		$179.70	$363.40	$363.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $303.66 / $678.14	Professional		$170.00	$303.66	$678.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $284.30 / $356.00 / $1,113.00	Facility		$284.30	$356.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.29 / $286.95 / $503.49	Professional		$188.29	$286.95	$503.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $164.85 / $187.47 / $275.05	Facility		$164.85	$187.47	$275.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $217.40 / $295.87	Professional		$182.92	$217.40	$295.87
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,090.00 / $3,742.00	Facility		$316.00	$1,090.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $303.24 / $534.55	Professional		$197.66	$303.24	$534.55