Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $4,831.83 / $8,609.00	Facility		$413.12	$4,831.83	$8,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.75 / $276.62 / $752.12	Professional		$225.75	$276.62	$752.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $517.21 / $517.21 / $517.21	Professional		$517.21	$517.21	$517.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,148.48 / $21,688.09	Facility		$2,298.89	$3,148.48	$21,688.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $5,951.00 / $8,887.00	Facility		$2,800.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $298.38 / $309.64 / $309.64	Professional		$298.38	$309.64	$309.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.72 / $339.28 / $551.62	Professional		$254.72	$339.28	$551.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $357.93 / $475.57 / $477.63	Professional		$357.93	$475.57	$477.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,651.25 / $7,020.46 / $13,751.87	Facility		$2,651.25	$7,020.46	$13,751.87
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,102.54 / $3,148.48 / $7,252.25	Facility		$2,102.54	$3,148.48	$7,252.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $419.36 / $4,056.00 / $8,451.00	Facility		$419.36	$4,056.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $363.01 / $800.50	Professional		$235.22	$363.01	$800.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $345.40 / $797.40	Professional		$3.00	$345.40	$797.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $255.89 / $348.94 / $553.24	Professional		$255.89	$348.94	$553.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $250.29 / $297.08 / $349.59	Facility		$250.29	$297.08	$349.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.29 / $289.70 / $322.80	Professional		$250.29	$289.70	$322.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $345.36 / $608.66	Professional		$261.64	$345.36	$608.66