Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.83 / $1,976.52 / $3,223.20	Facility		$614.83	$1,976.52	$3,223.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $570.79 / $786.45	Professional		$500.00	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $455.43	Professional		$455.43	$455.43	$455.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $759.05 / $997.39	Professional		$493.38	$759.05	$997.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,771.17 / $3,692.72 / $8,459.92	Facility		$2,771.17	$3,692.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $592.05 / $592.05 / $897.44	Professional		$592.05	$592.05	$897.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.18 / $986.76 / $2,220.21	Facility		$508.18	$986.76	$2,220.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.70 / $856.94 / $1,716.67	Professional		$399.70	$856.94	$1,716.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $795.00 / $1,282.79	Professional		$349.16	$795.00	$1,282.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.29 / $1,293.88 / $2,463.75	Facility		$491.29	$1,293.88	$2,463.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $559.63 / $617.65	Professional		$455.43	$559.63	$617.65
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $493.38 / $797.00	Professional		$493.38	$493.38	$797.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $709.71 / $1,593.62 / $3,192.84	Facility		$709.71	$1,593.62	$3,192.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $580.79 / $872.91	Professional		$544.62	$580.79	$872.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,347.70 / $1,392.62 / $1,937.31	Facility		$1,347.70	$1,392.62	$1,937.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.39 / $1,138.58 / $2,209.60	Professional		$1,123.39	$1,138.58	$2,209.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $530.40 / $1,103.69 / $2,518.75	Facility		$530.40	$1,103.69	$2,518.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $856.94 / $1,716.67	Professional		$563.00	$856.94	$1,716.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $882.56	Facility		$759.05	$759.05	$882.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $882.56	Professional		$759.05	$759.05	$882.56
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,290.39	Professional		$318.80	$455.43	$1,290.39