Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $248.27 / $506.02	Facility		$89.57	$248.27	$506.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $101.79 / $486.13	Professional		$75.68	$101.79	$486.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $83.68 / $2,459.16	Facility		$32.22	$83.68	$2,459.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $62.27 / $190.08	Professional		$52.93	$62.27	$190.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $413.60 / $551.15 / $8,459.92	Facility		$413.60	$551.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Professional		$74.72	$74.72	$74.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.91 / $141.72 / $318.37	Facility		$90.91	$141.72	$318.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $92.22 / $173.98	Professional		$53.77	$92.22	$173.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $129.33 / $182.02	Professional		$57.00	$129.33	$182.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $237.40 / $443.75	Facility		$130.22	$237.40	$443.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $37.81 / $81.08 / $171.29	Facility		$37.81	$81.08	$171.29
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $52.93 / $95.80	Professional		$52.93	$52.93	$95.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $271.98 / $569.24	Facility		$87.50	$271.98	$569.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $116.40 / $433.00	Professional		$77.59	$116.40	$433.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $497.65 / $522.09 / $1,003.93	Facility		$497.65	$522.09	$1,003.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $119.80 / $141.30	Professional		$95.80	$119.80	$141.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $93.19 / $159.38 / $318.37	Facility		$93.19	$159.38	$318.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $98.39 / $216.99	Professional		$57.29	$98.39	$216.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $105.38 / $105.38	Professional		$105.38	$105.38	$105.38
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $57.48 / $143.69	Professional		$40.24	$57.48	$143.69