Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.25 / $794.75 / $1,743.10	Facility		$354.25	$794.75	$1,743.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $376.24 / $1,519.00	Professional		$329.26	$376.24	$1,519.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $187.35 / $471.31 / $4,165.38	Facility		$187.35	$471.31	$4,165.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,958.98 / $2,610.44 / $8,459.92	Facility		$1,958.98	$2,610.44	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $325.08 / $325.08	Professional		$325.08	$325.08	$325.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $615.77 / $1,383.25	Facility		$395.53	$615.77	$1,383.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.85 / $400.67 / $942.76	Professional		$243.85	$400.67	$942.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $562.65 / $791.88	Professional		$247.99	$562.65	$791.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.16 / $1,052.41 / $1,466.82	Facility		$357.16	$1,052.41	$1,466.82
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $449.09 / $995.65	Facility		$219.78	$449.09	$995.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $354.26 / $910.73 / $1,743.10	Facility		$354.26	$910.73	$1,743.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $482.10 / $1,721.30	Professional		$329.26	$482.10	$1,721.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $1,937.33 / $2,437.29	Facility		$819.61	$1,937.33	$2,437.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.20 / $1,111.20 / $1,111.20	Professional		$1,111.20	$1,111.20	$1,111.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $405.52 / $693.39 / $1,383.25	Facility		$405.52	$693.39	$1,383.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $445.16 / $942.76	Professional		$246.33	$445.16	$942.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $623.90	Facility		$416.78	$416.78	$623.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $623.90	Professional		$416.78	$416.78	$623.90
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $255.23 / $625.16	Professional		$175.05	$255.23	$625.16