Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.85 / $1,332.95 / $2,434.59	Facility		$450.85	$1,332.95	$2,434.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.71 / $500.00 / $1,356.00	Professional		$439.71	$500.00	$1,356.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $556.60	Professional		$556.60	$556.60	$556.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $293.50 / $629.41 / $5,335.30	Facility		$293.50	$629.41	$5,335.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,922.44 / $2,561.75 / $8,459.92	Facility		$1,922.44	$2,561.75	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $434.15 / $434.15 / $434.15	Professional		$434.15	$434.15	$434.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.21 / $822.31 / $1,847.23	Facility		$528.21	$822.31	$1,847.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $594.63 / $1,258.99	Professional		$262.29	$594.63	$1,258.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $751.41 / $2,105.90	Professional		$331.18	$751.41	$2,105.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.04 / $1,190.07 / $2,406.21	Facility		$458.04	$1,190.07	$2,406.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.53 / $634.53 / $893.37	Professional		$634.53	$634.53	$893.37
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $304.14 / $601.13 / $1,329.64	Facility		$304.14	$601.13	$1,329.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $400.75 / $1,111.59 / $2,298.76	Facility		$400.75	$1,111.59	$2,298.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $439.71 / $834.90 / $2,298.76	Professional		$439.71	$834.90	$2,298.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.86 / $1,082.80 / $1,506.31	Facility		$1,047.86	$1,082.80	$1,506.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $823.77 / $1,113.20	Professional		$448.00	$823.77	$1,113.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $541.85 / $926.00 / $1,847.23	Facility		$541.85	$926.00	$1,847.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $361.64 / $628.54 / $1,258.99	Professional		$361.64	$628.54	$1,258.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $556.60 / $1,084.03	Facility		$556.60	$556.60	$1,084.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $1,084.03	Professional		$556.60	$556.60	$1,084.03
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.96 / $1,018.58	Professional		$233.77	$333.96	$1,018.58