Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.26 / $2,436.94 / $6,704.53	Facility		$331.26	$2,436.94	$6,704.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $206.55 / $458.71	Professional		$85.49	$206.55	$458.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $89.71 / $132.74	Professional		$78.31	$89.71	$132.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,181.46 / $3,574.87 / $8,570.84	Facility		$2,181.46	$3,574.87	$8,570.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,992.40 / $3,888.00 / $8,639.91	Facility		$1,992.40	$3,888.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $283.51 / $294.20 / $294.20	Professional		$283.51	$294.20	$294.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,004.78 / $1,995.45	Facility		$320.00	$1,004.78	$1,995.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $217.15 / $514.21	Professional		$93.78	$217.15	$514.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $189.63 / $189.63 / $189.63	Facility		$189.63	$189.63	$189.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.10 / $457.21 / $584.16	Professional		$345.10	$457.21	$584.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,679.90 / $3,683.48 / $7,247.19	Facility		$1,679.90	$3,683.48	$7,247.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $96.77 / $103.07	Professional		$88.42	$96.77	$103.07
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,858.69 / $3,468.47 / $5,953.72	Facility		$1,858.69	$3,468.47	$5,953.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $403.86 / $2,487.67 / $6,735.02	Facility		$403.86	$2,487.67	$6,735.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $234.10 / $578.29	Professional		$87.96	$234.10	$578.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $397.40 / $397.40 / $397.40	Facility		$397.40	$397.40	$397.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $397.40 / $836.10	Professional		$4.00	$397.40	$836.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $795.00 / $1,898.78	Facility		$147.60	$795.00	$1,898.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $218.98 / $500.70	Professional		$95.70	$218.98	$500.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $177.76 / $656.89	Facility		$85.48	$177.76	$656.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $287.02 / $315.77	Professional		$85.48	$287.02	$315.77
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.42 / $353.28 / $598.49	Professional		$263.42	$353.28	$598.49