Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $256.80 / $757.50	Facility		$62.36	$256.80	$757.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $59.43 / $379.00	Professional		$47.15	$59.43	$379.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $126.49 / $1,967.62	Facility		$61.90	$126.49	$1,967.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $383.71 / $8,459.92	Facility		$287.95	$383.71	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $57.23 / $57.23	Professional		$57.23	$57.23	$57.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $108.35 / $243.40	Facility		$69.63	$108.35	$243.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $78.52 / $165.89	Professional		$35.82	$78.52	$165.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $99.05 / $139.40	Professional		$43.66	$99.05	$139.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $189.85 / $424.52	Facility		$99.28	$189.85	$424.52
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $122.86 / $280.44	Facility		$64.15	$122.86	$280.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $218.65 / $667.20	Facility		$71.55	$218.65	$667.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $100.52 / $379.00	Professional		$50.29	$100.52	$379.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $550.59 / $568.91 / $791.40	Facility		$550.59	$568.91	$791.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $110.06 / $146.74	Professional		$108.59	$110.06	$146.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $122.06 / $243.40	Facility		$71.47	$122.06	$243.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $78.54 / $165.89	Professional		$38.58	$78.54	$165.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $92.40	Facility		$73.37	$73.37	$92.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $92.40	Professional		$73.37	$73.37	$92.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $134.27	Professional		$30.82	$44.02	$134.27