Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $640.41 / $3,816.50	Facility		$178.35	$640.41	$3,816.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $133.01 / $368.71	Professional		$52.31	$133.01	$368.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $59.99 / $220.26	Professional		$50.05	$59.99	$220.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $691.16 / $25,922.03	Facility		$522.48	$691.16	$25,922.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $249.02 / $391.83	Professional		$137.55	$249.02	$391.83
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 $224.04 / $232.50 / $387.33	Professional		$224.04	$232.50	$387.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $139.71 / $359.59	Professional		$57.77	$139.71	$359.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.67 / $366.31 / $525.36	Professional		$273.67	$366.31	$525.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.80 / $423.86 / $761.60	Facility		$254.80	$423.86	$761.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $68.19 / $256.38	Professional		$63.53	$68.19	$256.38
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $439.01 / $687.48 / $17,055.34	Facility		$439.01	$687.48	$17,055.34
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $249.02 / $391.83	Professional		$137.55	$249.02	$391.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $944.26 / $4,761.00	Facility		$178.35	$944.26	$4,761.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $142.08 / $420.71	Professional		$58.36	$142.08	$420.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $368.42 / $478.90	Professional		$60.88	$368.42	$478.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $160.02	Facility		$98.11	$98.11	$160.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $140.08 / $351.53	Professional		$58.08	$140.08	$351.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $145.72 / $236.47	Facility		$55.93	$145.72	$236.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $222.34 / $257.73	Professional		$55.93	$222.34	$257.73
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $233.74 / $439.74	Professional		$156.86	$233.74	$439.74