Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.93 / $847.02 / $6,012.00	Facility		$215.93	$847.02	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $201.46 / $601.00	Professional		$125.32	$201.46	$601.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $280.08 / $283.92	Professional		$280.08	$280.08	$283.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $176.25 / $201.63	Professional		$176.25	$176.25	$201.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,751.04 / $2,594.00 / $5,296.01	Facility		$1,751.04	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $173.25 / $273.95	Professional		$166.95	$173.25	$273.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $195.94 / $316.23	Professional		$144.44	$195.94	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $264.83 / $264.83	Professional		$199.28	$264.83	$264.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.85 / $807.71 / $1,450.00	Facility		$376.85	$807.71	$1,450.00
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $176.25 / $367.08	Professional		$176.25	$176.25	$367.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $230.41 / $1,569.00 / $7,799.00	Facility		$230.41	$1,569.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $231.47 / $454.60	Professional		$136.28	$231.47	$454.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $479.76 / $479.76 / $479.76	Facility		$479.76	$479.76	$479.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $141.80 / $438.80	Professional		$3.00	$141.80	$438.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $201.10 / $319.72	Professional		$145.69	$201.10	$319.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $155.75 / $173.59	Facility		$130.15	$155.75	$173.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $161.02 / $175.47	Professional		$130.15	$161.02	$175.47
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $212.08 / $348.70	Professional		$156.72	$212.08	$348.70