Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $338.55 / $536.89	Facility		$125.87	$338.55	$536.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $72.34 / $547.19	Professional		$65.84	$72.34	$547.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $85.10 / $85.10	Professional		$85.10	$85.10	$85.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $117.22 / $337.61 / $1,160.00	Facility		$117.22	$337.61	$1,160.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $429.11 / $571.80 / $8,459.92	Facility		$429.11	$571.80	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Professional		$66.38	$66.38	$66.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $129.26 / $282.52	Facility		$80.77	$129.26	$282.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $80.58 / $192.55	Professional		$49.82	$80.58	$192.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $114.89 / $161.69	Professional		$50.63	$114.89	$161.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.31 / $238.28 / $512.62	Facility		$120.31	$238.28	$512.62
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $318.58 / $727.21	Facility		$106.38	$318.58	$727.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $99.94 / $351.46 / $588.32	Facility		$99.94	$351.46	$588.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $111.96 / $533.58	Professional		$65.84	$111.96	$533.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $265.76 / $369.72	Facility		$257.20	$265.76	$369.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $131.69 / $325.60	Professional		$95.80	$131.69	$325.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $141.59 / $282.52	Facility		$82.80	$141.59	$282.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $90.84 / $192.55	Professional		$53.43	$90.84	$192.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $85.10	Facility		$85.10	$85.10	$85.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $85.10 / $86.80	Professional		$85.10	$85.10	$86.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $52.18 / $155.72	Professional		$35.74	$52.18	$155.72