Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.49 / $495.71 / $5,342.00	Facility		$172.49	$495.71	$5,342.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $90.42 / $234.78	Professional		$37.60	$90.42	$234.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $169.11 / $206.10	Professional		$102.97	$169.11	$206.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $136.54 / $179.76	Professional		$101.27	$136.54	$179.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $114.55 / $170.66	Professional		$97.37	$114.55	$170.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $100.00 / $1,665.00	Facility		$53.00	$100.00	$1,665.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $91.51 / $193.66	Professional		$39.71	$91.51	$193.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Facility		$92.55	$92.55	$92.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $179.51 / $229.24	Professional		$134.27	$179.51	$229.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $302.77 / $595.32	Facility		$184.45	$302.77	$595.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $129.99 / $202.79	Professional		$49.49	$129.99	$202.79
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $137.75 / $229.83	Professional		$103.55	$137.75	$229.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $249.29 / $1,357.00 / $7,175.00	Facility		$249.29	$1,357.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $113.11 / $273.81	Professional		$40.09	$113.11	$273.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $53.20 / $53.20	Facility		$53.20	$53.20	$53.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $61.50 / $262.60	Professional		$53.00	$61.50	$262.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $100.00 / $1,665.00	Facility		$53.00	$100.00	$1,665.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $92.27 / $192.45	Professional		$40.71	$92.27	$192.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $72.40 / $114.98	Facility		$40.04	$72.40	$114.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $76.38 / $124.97	Professional		$40.04	$76.38	$124.97
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $110.81 / $190.58	Professional		$70.64	$110.81	$190.58