Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.85 / $839.92 / $3,873.00	Facility		$231.85	$839.92	$3,873.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $154.38 / $515.00	Professional		$111.95	$154.38	$515.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $194.08 / $235.80	Professional		$146.53	$194.08	$235.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $174.54 / $361.63	Professional		$162.49	$174.54	$361.63
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 $150.80 / $221.60 / $278.54	Professional		$150.80	$221.60	$278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $208.55 / $208.55	Facility		$208.55	$208.55	$208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $176.08 / $281.55	Professional		$130.60	$176.08	$281.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $250.44 / $312.17	Professional		$180.73	$250.44	$312.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.92 / $702.09 / $1,159.52	Facility		$408.92	$702.09	$1,159.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $170.92 / $171.36	Professional		$161.99	$170.92	$171.36
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $284.88 / $361.63	Professional		$157.47	$284.88	$361.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $364.65 / $1,108.22 / $5,627.00	Facility		$364.65	$1,108.22	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $181.13 / $429.03	Professional		$112.65	$181.13	$429.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $158.90 / $308.20	Professional		$153.80	$158.90	$308.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $208.55 / $208.55	Facility		$208.55	$208.55	$208.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $179.80 / $289.83	Professional		$128.97	$179.80	$289.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $119.96 / $149.99	Facility		$119.14	$119.96	$149.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $131.28 / $160.02	Professional		$119.14	$131.28	$160.02
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $194.35 / $296.80	Professional		$150.77	$194.35	$296.80