Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.54 / $1,046.17 / $1,183.42	Facility		$223.54	$1,046.17	$1,183.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $213.02 / $223.54	Professional		$157.79	$213.02	$223.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $262.99	Professional		$262.99	$262.99	$262.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $302.44 / $632.10 / $1,229.89	Facility		$302.44	$632.10	$1,229.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $908.34 / $1,210.41 / $8,459.92	Facility		$908.34	$1,210.41	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $205.13 / $205.13 / $205.13	Professional		$205.13	$205.13	$205.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.57 / $388.42 / $872.54	Facility		$249.57	$388.42	$872.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $242.89 / $471.40	Professional		$121.13	$242.89	$471.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $355.04 / $499.68	Professional		$156.47	$355.04	$499.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.54 / $700.13 / $916.79	Facility		$353.54	$700.13	$916.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $302.44 / $547.69 / $1,215.80	Facility		$302.44	$547.69	$1,215.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.54 / $789.00 / $1,183.42	Facility		$223.54	$789.00	$1,183.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $218.28 / $1,086.15	Professional		$178.83	$218.28	$1,086.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $394.49 / $407.63 / $567.07	Facility		$394.49	$407.63	$567.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $389.23 / $525.98	Professional		$315.58	$389.23	$525.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $255.97 / $437.52 / $872.54	Facility		$255.97	$437.52	$872.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $250.45 / $473.20	Professional		$123.52	$250.45	$473.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $262.99 / $289.29	Facility		$262.99	$262.99	$289.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $289.29	Professional		$262.99	$262.99	$289.29
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $368.19	Professional		$110.46	$157.79	$368.19