Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.65 / $1,949.61 / $4,172.30	Facility		$408.65	$1,949.61	$4,172.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $227.18 / $562.10	Professional		$99.06	$227.18	$562.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $164.15 / $196.66	Professional		$164.15	$164.15	$196.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,006.83 / $1,649.94 / $19,212.03	Facility		$1,006.83	$1,649.94	$19,212.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $378.68 / $457.74	Professional		$251.52	$378.68	$457.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $182.22	Facility		$182.22	$182.22	$182.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $222.86 / $439.25	Professional		$115.72	$222.86	$439.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $401.92 / $522.08	Professional		$118.59	$401.92	$522.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.24 / $1,622.40 / $2,981.82	Facility		$533.24	$1,622.40	$2,981.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $249.26 / $263.60	Professional		$106.91	$249.26	$263.60
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $845.79 / $1,610.46 / $3,955.77	Facility		$845.79	$1,610.46	$3,955.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $282.25 / $1,869.30 / $4,038.32	Facility		$282.25	$1,869.30	$4,038.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $231.18 / $641.00	Professional		$101.24	$231.18	$641.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $276.89 / $563.20	Professional		$276.89	$276.89	$563.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $182.22	Facility		$182.22	$182.22	$182.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $226.78 / $457.81	Professional		$115.72	$226.78	$457.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $122.65 / $265.93	Facility		$103.85	$122.65	$265.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $248.84 / $272.11	Professional		$103.85	$248.84	$272.11
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.38 / $322.33 / $480.76	Professional		$239.38	$322.33	$480.76