Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $355.06 / $688.74	Facility		$110.97	$355.06	$688.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $112.60 / $450.00	Professional		$82.20	$112.60	$450.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $157.55 / $4,203.13	Facility		$64.66	$157.55	$4,203.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $473.18 / $630.54 / $8,459.92	Facility		$473.18	$630.54	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $106.86 / $106.86	Professional		$106.86	$106.86	$106.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $202.19 / $454.20	Facility		$130.01	$202.19	$454.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $126.22 / $237.57	Professional		$63.01	$126.22	$237.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $184.95 / $260.30	Professional		$81.52	$184.95	$260.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $252.81 / $596.62	Facility		$158.72	$252.81	$596.62
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $155.00 / $343.63	Facility		$75.84	$155.00	$343.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $313.74 / $611.45	Facility		$110.97	$313.74	$611.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $157.55 / $565.80	Professional		$98.64	$157.55	$565.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.51 / $226.83 / $285.36	Facility		$219.51	$226.83	$285.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $205.50 / $380.00	Professional		$202.76	$205.50	$380.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $227.92 / $454.20	Facility		$133.49	$227.92	$454.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $126.77 / $238.48	Professional		$63.01	$126.77	$238.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $150.69	Facility		$137.00	$137.00	$150.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $150.69	Professional		$137.00	$137.00	$150.69
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $182.92	Professional		$57.54	$82.20	$182.92