Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $206.48 / $373.56	Facility		$80.56	$206.48	$373.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $54.02 / $74.14	Professional		$50.11	$54.02	$74.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $37.19 / $61.98	Professional		$30.99	$37.19	$61.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $272.73 / $969.15	Facility		$94.70	$272.73	$969.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $312.54 / $405.86 / $8,639.91	Facility		$312.54	$405.86	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Professional		$48.34	$48.34	$48.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $82.54 / $205.37	Facility		$40.74	$82.54	$205.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $71.45 / $108.75	Professional		$38.83	$71.45	$108.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $49.58 / $83.92	Professional		$28.51	$49.58	$83.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $159.56 / $323.20	Facility		$85.74	$159.56	$323.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $59.50 / $99.27	Professional		$37.19	$59.50	$99.27
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $257.36 / $587.46	Facility		$77.48	$257.36	$587.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $189.68 / $383.67	Facility		$67.77	$189.68	$383.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $54.02 / $83.24	Professional		$48.96	$54.02	$83.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $153.27 / $213.20	Facility		$148.33	$153.27	$213.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $94.15 / $205.37	Facility		$41.50	$94.15	$205.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $71.45 / $108.75	Professional		$38.83	$71.45	$108.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $61.98 / $80.53	Professional		$54.54	$61.98	$80.53
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $38.01 / $108.59	Professional		$26.03	$38.01	$108.59