Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.83 / $300.83 / $701.00	Facility		$147.83	$300.83	$701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $207.09 / $720.21	Professional		$144.43	$207.09	$720.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $240.48 / $312.62	Professional		$133.13	$240.48	$312.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $185.81 / $299.99	Professional		$146.52	$185.81	$299.99
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 $169.94 / $271.14 / $372.29	Professional		$169.94	$271.14	$372.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $191.28 / $603.77	Facility		$183.68	$191.28	$603.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $196.56 / $316.33	Professional		$136.27	$196.56	$316.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.41 / $216.07 / $256.95	Professional		$171.41	$216.07	$256.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $192.07 / $282.19	Professional		$182.26	$192.07	$282.19
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $185.81 / $299.99	Professional		$146.52	$185.81	$299.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $433.14 / $710.16	Facility		$164.39	$433.14	$710.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $224.44 / $475.53	Professional		$147.83	$224.44	$475.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $261.17 / $348.22	Professional		$240.48	$261.17	$348.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $191.28 / $603.77	Facility		$183.68	$191.28	$603.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $197.69 / $328.06	Professional		$142.94	$197.69	$328.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.62 / $165.62 / $165.62	Facility		$165.62	$165.62	$165.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $165.79 / $172.96	Professional		$161.25	$165.79	$172.96
United Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $190.70 / $317.23	Professional		$149.36	$190.70	$317.23