Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.24 / $739.34 / $1,140.70	Facility		$211.24	$739.34	$1,140.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $213.85 / $1,676.88	Professional		$192.98	$213.85	$1,676.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $264.18 / $539.82 / $5,415.92	Facility		$264.18	$539.82	$5,415.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,228.83 / $1,637.48 / $8,459.92	Facility		$1,228.83	$1,637.48	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $203.42 / $203.42	Professional		$203.42	$203.42	$203.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.48 / $385.04 / $864.94	Facility		$247.48	$385.04	$864.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.27 / $279.01 / $589.50	Professional		$137.27	$279.01	$589.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $352.07 / $495.50	Professional		$155.16	$352.07	$495.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.75 / $545.47 / $1,982.35	Facility		$226.75	$545.47	$1,982.35
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $524.32 / $1,196.81	Facility		$260.79	$524.32	$1,196.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $243.84 / $739.34 / $1,153.02	Facility		$243.84	$739.34	$1,153.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $233.50 / $1,077.06	Professional		$192.98	$233.50	$1,077.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.97 / $391.19 / $521.58	Professional		$385.97	$391.19	$521.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $433.86 / $864.94	Facility		$253.76	$433.86	$864.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $301.24 / $589.50	Professional		$154.37	$301.24	$589.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $260.79 / $394.32	Facility		$260.79	$260.79	$394.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $260.79 / $394.32	Professional		$260.79	$260.79	$394.32
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $156.47 / $398.47	Professional		$109.53	$156.47	$398.47