Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $239.03 / $248.67	Facility		$85.76	$239.03	$248.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $70.62 / $203.08	Professional		$46.58	$70.62	$203.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $56.80 / $99.63	Professional		$56.80	$56.80	$99.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $63.04 / $80.62	Professional		$60.38	$63.04	$80.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $268.33 / $373.46 / $528.04	Facility		$268.33	$373.46	$528.04
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $80.88 / $193.90	Professional		$60.21	$80.88	$193.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $98.59 / $139.05	Facility		$98.59	$98.59	$139.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $56.80 / $116.53	Professional		$30.77	$56.80	$116.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $87.43 / $344.26	Professional		$37.09	$87.43	$344.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $85.23 / $106.54	Professional		$62.23	$85.23	$106.54
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $63.04 / $80.62	Professional		$60.38	$63.04	$80.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $248.67 / $248.67	Facility		$85.76	$248.67	$248.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $88.29 / $216.00	Professional		$48.05	$88.29	$216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $90.57 / $120.76	Professional		$84.06	$90.57	$120.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $98.59 / $139.05	Facility		$98.59	$98.59	$139.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $59.94 / $118.25	Professional		$30.19	$59.94	$118.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $60.21 / $71.52	Professional		$60.13	$60.21	$71.52
United Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $65.31 / $119.80	Professional		$38.79	$65.31	$119.80