Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $333.88 / $596.53	Facility		$146.91	$333.88	$596.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $118.37 / $195.87	Professional		$93.61	$118.37	$195.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $232.72 / $232.72 / $232.72	Facility		$232.72	$232.72	$232.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $492.63 / $656.45 / $8,459.92	Facility		$492.63	$656.45	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $111.25 / $111.25	Professional		$111.25	$111.25	$111.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $210.90 / $473.76	Facility		$135.36	$210.90	$473.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $134.94 / $255.70	Professional		$67.00	$134.94	$255.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $192.55 / $271.00	Professional		$84.86	$192.55	$271.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.84 / $360.14 / $608.38	Facility		$160.84	$360.14	$608.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.61 / $162.61 / $233.70	Professional		$162.61	$162.61	$233.70
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $232.72 / $232.72 / $294.83	Facility		$232.72	$232.72	$294.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $337.05 / $589.05	Facility		$156.88	$337.05	$589.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $142.62 / $589.05	Professional		$102.69	$142.62	$589.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $424.51 / $438.64 / $610.19	Facility		$424.51	$438.64	$610.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $211.09 / $285.26	Professional		$171.16	$211.09	$285.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $138.85 / $237.29 / $473.76	Facility		$138.85	$237.29	$473.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $136.44 / $256.68	Professional		$67.00	$136.44	$256.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $156.88	Facility		$142.63	$142.63	$156.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $156.88	Professional		$142.63	$142.63	$156.88
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $199.68	Professional		$59.90	$85.58	$199.68