Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.54 / $2,747.00 / $8,017.00	Facility		$314.54	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $216.82 / $402.15	Professional		$117.31	$216.82	$402.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $462.96	Professional		$86.94	$86.94	$462.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $342.82 / $363.59 / $601.03	Professional		$342.82	$363.59	$601.03
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 $302.79 / $314.20 / $314.20	Professional		$302.79	$314.20	$314.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.65 / $526.00 / $2,109.00	Facility		$338.65	$526.00	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $257.50 / $484.29	Professional		$142.21	$257.50	$484.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $415.86 / $415.86 / $415.86	Facility		$415.86	$415.86	$415.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $367.38 / $491.62 / $627.61	Professional		$367.38	$491.62	$627.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.15 / $1,804.31 / $4,210.66	Facility		$949.15	$1,804.31	$4,210.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $404.41 / $498.08	Professional		$215.45	$404.41	$498.08
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $363.59 / $601.03	Professional		$319.27	$363.59	$601.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,839.00 / $8,017.00	Facility		$540.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $265.06 / $652.95	Professional		$129.72	$265.06	$652.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $166.60 / $166.60 / $166.60	Facility		$166.60	$166.60	$166.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $176.10 / $685.30	Professional		$27.40	$176.10	$685.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $305.08 / $500.00 / $2,151.00	Facility		$305.08	$500.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $260.95 / $478.68	Professional		$143.97	$260.95	$478.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $179.19 / $303.76	Facility		$91.07	$179.19	$303.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $192.16 / $329.28	Professional		$164.38	$192.16	$329.28
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 $177.01 / $308.20 / $548.64	Professional		$177.01	$308.20	$548.64