Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $1,171.19 / $5,064.43	Facility		$110.53	$1,171.19	$5,064.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $109.55 / $288.82	Professional		$59.57	$109.55	$288.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $91.88 / $181.28	Professional		$58.48	$91.88	$181.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $113.90 / $130.30	Professional		$113.90	$113.90	$130.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $111.47 / $111.47	Professional		$107.42	$111.47	$111.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $116.17 / $198.97	Professional		$72.30	$116.17	$198.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $171.42 / $172.49	Professional		$129.03	$171.42	$172.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.79 / $799.16 / $2,645.67	Facility		$326.79	$799.16	$2,645.67
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $113.90 / $238.60	Professional		$113.90	$113.90	$238.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $1,348.53 / $6,052.07	Facility		$115.90	$1,348.53	$6,052.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $127.28 / $278.55	Professional		$64.66	$127.28	$278.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.03 / $1,019.03 / $1,019.03	Facility		$1,019.03	$1,019.03	$1,019.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $124.70 / $291.39	Professional		$3.00	$124.70	$291.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $117.70 / $200.21	Professional		$72.80	$117.70	$200.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $71.53 / $107.75	Facility		$64.98	$71.53	$107.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $105.12 / $114.82	Professional		$64.98	$105.12	$114.82
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 $96.87 / $133.53 / $214.56	Professional		$96.87	$133.53	$214.56