Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $161.46 / $321.08	Facility		$59.67	$161.46	$321.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $83.95 / $440.15	Professional		$55.46	$83.95	$440.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $70.20 / $70.20	Professional		$35.10	$70.20	$70.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $135.28 / $2,811.86	Facility		$56.43	$135.28	$2,811.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $353.99 / $471.71 / $8,459.92	Facility		$353.99	$471.71	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $54.76 / $54.76	Professional		$54.76	$54.76	$54.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $106.62 / $232.53	Facility		$66.62	$106.62	$232.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $64.79 / $158.47	Professional		$41.05	$64.79	$158.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $94.77 / $133.38	Professional		$41.77	$94.77	$133.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $212.73 / $329.23	Facility		$133.13	$212.73	$329.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $69.43 / $143.09	Professional		$54.33	$69.43	$143.09
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $127.88 / $299.91	Facility		$66.20	$127.88	$299.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $178.31 / $420.84	Facility		$59.70	$178.31	$420.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $85.29 / $431.73	Professional		$56.85	$85.29	$431.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $819.61 / $1,003.93 / $1,042.19	Facility		$819.61	$1,003.93	$1,042.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $105.30 / $140.40	Professional		$79.00	$105.30	$140.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $116.79 / $232.53	Facility		$68.31	$116.79	$232.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $74.92 / $158.47	Professional		$44.11	$74.92	$158.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $49.96 / $49.96	Professional		$49.96	$49.96	$49.96
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $114.92	Professional		$29.48	$42.12	$114.92