Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $197.07 / $346.98	Facility		$55.84	$197.07	$346.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $53.21 / $326.00	Professional		$48.61	$53.21	$326.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Professional		$65.69	$65.69	$65.69
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $101.86 / $2,641.56	Facility		$49.85	$101.86	$2,641.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $308.97 / $8,459.92	Facility		$231.86	$308.97	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $51.24 / $51.24	Professional		$51.24	$51.24	$51.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.34 / $97.23 / $218.41	Facility		$62.34	$97.23	$218.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $70.20 / $148.86	Professional		$30.28	$70.20	$148.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $88.68 / $124.81	Professional		$39.08	$88.68	$124.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $163.27 / $280.07	Facility		$91.13	$163.27	$280.07
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.66 / $98.94 / $225.83	Facility		$51.66	$98.94	$225.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $173.42 / $330.42	Facility		$55.87	$173.42	$330.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $79.81 / $310.00	Professional		$47.30	$79.81	$310.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $650.24 / $671.91 / $934.65	Facility		$650.24	$671.91	$934.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $98.53 / $131.38	Professional		$97.22	$98.53	$131.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $109.29 / $218.41	Facility		$63.91	$109.29	$218.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $70.45 / $148.86	Professional		$31.10	$70.45	$148.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $74.40	Facility		$65.69	$65.69	$74.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $74.40	Professional		$65.69	$65.69	$74.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $87.71	Professional		$27.59	$39.40	$87.71