Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.26 / $1,284.00 / $6,012.00	Facility		$251.26	$1,284.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $123.28 / $245.58	Professional		$90.40	$123.28	$245.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $119.35 / $146.16	Professional		$111.01	$119.35	$146.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $141.66 / $218.48	Professional		$117.39	$141.66	$218.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $2,594.00 / $5,296.01	Facility		$990.00	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $177.35 / $254.38	Professional		$126.52	$177.35	$254.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $124.49 / $210.00	Professional		$88.96	$124.49	$210.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $154.16 / $198.79	Professional		$154.16	$154.16	$198.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.00 / $1,208.02 / $2,791.86	Facility		$367.00	$1,208.02	$2,791.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.66 / $195.27	Professional		$123.03	$147.66	$195.27
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $141.66 / $218.48	Professional		$117.39	$141.66	$218.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,978.00 / $7,799.00	Facility		$428.00	$1,978.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $128.96 / $325.18	Professional		$97.98	$128.96	$325.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $152.19 / $247.48	Professional		$152.19	$152.19	$247.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $124.06 / $200.11	Professional		$89.07	$124.06	$200.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $99.12 / $145.57	Facility		$98.27	$99.12	$145.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $122.02 / $145.57	Professional		$97.79	$122.02	$145.57
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $145.35 / $246.26	Professional		$112.34	$145.35	$246.26