Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.64 / $702.19 / $1,521.38	Facility		$267.64	$702.19	$1,521.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $219.18 / $261.30	Professional		$194.32	$219.18	$261.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $173.17	Professional		$173.17	$173.17	$173.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $320.14 / $1,173.60 / $12,129.78	Facility		$320.14	$1,173.60	$12,129.78
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 $232.54 / $241.32 / $241.32	Professional		$232.54	$241.32	$241.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.42 / $644.24 / $1,066.67	Facility		$260.42	$644.24	$1,066.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $273.54 / $483.55	Professional		$200.60	$273.54	$483.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $274.58 / $396.19	Professional		$219.86	$274.58	$396.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.93 / $706.77 / $1,151.31	Facility		$312.93	$706.77	$1,151.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.44 / $297.44 / $305.56	Professional		$297.44	$297.44	$305.56
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $792.95 / $7,717.18	Facility		$302.33	$792.95	$7,717.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $294.41 / $781.92 / $1,531.50	Facility		$294.41	$781.92	$1,531.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.31 / $224.39 / $459.22	Professional		$194.31	$224.39	$459.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $871.16 / $900.19 / $1,159.60	Facility		$871.16	$900.19	$1,159.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $478.50 / $814.50	Professional		$152.30	$478.50	$814.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $256.87 / $581.37 / $1,011.56	Facility		$256.87	$581.37	$1,011.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $274.23 / $492.75	Professional		$201.98	$274.23	$492.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $222.42 / $222.42 / $222.42	Facility		$222.42	$222.42	$222.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $222.42 / $226.87	Professional		$222.42	$222.42	$226.87
United Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $263.81 / $456.08	Professional		$171.80	$263.81	$456.08