Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $111.09 / $229.25	Facility		$54.00	$111.09	$229.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $38.38 / $52.63	Professional		$27.72	$38.38	$52.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $35.09 / $35.09	Professional		$17.55	$35.09	$35.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $141.97 / $805.87	Facility		$56.43	$141.97	$805.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $235.88 / $8,459.92	Facility		$177.01	$235.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $27.37	Professional		$27.37	$27.37	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $53.31 / $116.27	Facility		$33.29	$53.31	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $33.71 / $79.23	Professional		$20.60	$33.71	$79.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $47.37 / $66.67	Professional		$20.88	$47.37	$66.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $106.46 / $196.80	Facility		$64.80	$106.46	$196.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $41.95 / $41.95	Professional		$41.95	$41.95	$41.95
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $134.52 / $299.91	Facility		$52.80	$134.52	$299.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $118.25 / $253.79	Facility		$42.63	$118.25	$253.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $41.97 / $144.91	Professional		$28.42	$41.97	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $664.90 / $735.09 / $1,029.21	Facility		$664.90	$735.09	$1,029.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $49.40 / $58.30	Professional		$39.50	$49.40	$58.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $58.38 / $116.27	Facility		$34.00	$58.38	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $37.64 / $79.23	Professional		$21.59	$37.64	$79.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.79	Professional		$35.09	$35.09	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.13	Professional		$14.74	$21.05	$55.13