Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $515.16 / $848.61	Facility		$106.67	$515.16	$848.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $106.67 / $316.80	Professional		$96.45	$106.67	$316.80
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $263.31 / $2,425.36 / $4,148.00	Facility		$263.31	$2,425.36	$4,148.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $628.54 / $837.56 / $8,459.92	Facility		$628.54	$837.56	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $97.88 / $97.88	Professional		$97.88	$97.88	$97.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.09 / $189.34 / $416.17	Facility		$119.09	$189.34	$416.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $120.55 / $283.64	Professional		$73.03	$120.55	$283.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $169.41 / $238.43	Professional		$74.66	$169.41	$238.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $345.62 / $766.79	Facility		$151.97	$345.62	$766.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $1,543.06 / $3,303.76	Facility		$125.49	$1,543.06	$3,303.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $490.78 / $885.50	Facility		$106.67	$490.78	$885.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $144.31 / $518.27	Professional		$96.45	$144.31	$518.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $188.24 / $592.79	Professional		$140.30	$188.24	$592.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $122.16 / $208.78 / $416.17	Facility		$122.16	$208.78	$416.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $134.25 / $283.64	Professional		$78.28	$134.25	$283.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $125.49 / $125.49	Facility		$125.49	$125.49	$125.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $125.49 / $128.00	Professional		$125.49	$125.49	$128.00
United Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Facility		$73.14	$73.14	$73.14
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $125.49 / $225.27	Professional		$75.29	$125.49	$225.27