Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $320.57 / $336.84	Facility		$116.97	$320.57	$336.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $86.71 / $258.58	Professional		$58.18	$86.71	$258.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $119.10 / $154.94	Professional		$39.88	$119.10	$154.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $85.39 / $109.20	Professional		$82.14	$85.39	$109.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $342.52 / $476.71 / $674.03	Facility		$342.52	$476.71	$674.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $108.57 / $254.38	Professional		$82.12	$108.57	$254.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $171.15	Facility		$133.47	$133.47	$171.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $71.70 / $145.28	Professional		$41.36	$71.70	$145.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $118.75 / $453.56	Professional		$50.41	$118.75	$453.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $137.97 / $137.97	Facility		$137.97	$137.97	$137.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $95.06 / $137.49	Professional		$84.70	$95.06	$137.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $85.39 / $109.20	Professional		$82.14	$85.39	$109.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $320.57 / $336.84	Facility		$116.97	$320.57	$336.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $108.41 / $260.56	Professional		$67.00	$108.41	$260.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $122.23 / $165.90	Professional		$112.30	$122.23	$165.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $171.15	Facility		$133.47	$133.47	$171.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $81.31 / $151.80	Professional		$41.07	$81.31	$151.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $81.56 / $94.22	Professional		$81.51	$81.56	$94.22
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $87.13 / $147.79	Professional		$47.92	$87.13	$147.79