Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.37 / $515.73 / $909.32	Facility		$139.37	$515.73	$909.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $134.44 / $270.52	Professional		$101.24	$134.44	$270.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $166.09 / $339.39 / $1,827.97	Facility		$166.09	$339.39	$1,827.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $772.60 / $1,029.53 / $8,459.92	Facility		$772.60	$1,029.53	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $127.89 / $127.89	Professional		$127.89	$127.89	$127.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.59 / $242.34 / $544.39	Facility		$155.59	$242.34	$544.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $175.61 / $371.03	Professional		$86.34	$175.61	$371.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $221.35 / $311.52	Professional		$97.55	$221.35	$311.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.06 / $379.02 / $577.04	Facility		$166.06	$379.02	$577.04
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $329.64 / $752.44	Facility		$163.96	$329.64	$752.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $139.37 / $498.27 / $732.78	Facility		$139.37	$498.27	$732.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $146.81 / $677.16	Professional		$103.29	$146.81	$677.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,312.12 / $1,312.12 / $1,312.12	Facility		$1,312.12	$1,312.12	$1,312.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $245.94 / $327.92	Professional		$242.66	$245.94	$327.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $272.77 / $544.39	Facility		$159.63	$272.77	$544.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $189.37 / $371.03	Professional		$97.01	$189.37	$371.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $247.92	Facility		$163.96	$163.96	$247.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $247.92	Professional		$163.96	$163.96	$247.92
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $250.53	Professional		$68.86	$98.38	$250.53