Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.19 / $630.40 / $1,416.10	Facility		$275.19	$630.40	$1,416.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $235.80 / $275.19	Professional		$88.21	$235.80	$275.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $271.44 / $3,165.89	Facility		$104.55	$271.44	$3,165.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $574.83 / $746.45 / $8,639.91	Facility		$574.83	$746.45	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $252.52 / $252.52 / $252.52	Professional		$252.52	$252.52	$252.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $420.63 / $946.98	Facility		$210.44	$420.63	$946.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $311.27 / $465.14	Professional		$85.06	$311.27	$465.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $191.01 / $438.36	Professional		$143.31	$191.01	$438.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.81 / $509.18 / $1,050.83	Facility		$222.81	$509.18	$1,050.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $128.15 / $213.68	Professional		$116.50	$128.15	$213.68
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $122.65 / $263.01 / $555.61	Facility		$122.65	$263.01	$555.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.70 / $684.65 / $1,573.22	Facility		$302.70	$684.65	$1,573.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $262.24 / $1,337.09	Professional		$161.87	$262.24	$1,337.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.67 / $1,137.33 / $1,582.20	Facility		$1,100.67	$1,137.33	$1,582.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $431.13 / $1,074.65	Facility		$210.44	$431.13	$1,074.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $311.27 / $465.14	Professional		$79.68	$311.27	$465.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.78 / $323.75 / $323.75	Facility		$154.78	$323.75	$323.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $323.75 / $323.75	Professional		$154.78	$323.75	$323.75
United Facility/Professional Facility Modifier Low / Median / High Price $291.38 / $388.50 / $388.50	Facility		$291.38	$388.50	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $190.99 / $485.63	Professional		$99.86	$190.99	$485.63