Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $216.00 / $389.75	Facility		$116.73	$216.00	$389.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $84.10 / $201.87	Professional		$66.33	$84.10	$201.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $135.63 / $150.75	Professional		$41.10	$135.63	$150.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $85.17 / $108.92	Professional		$82.20	$85.17	$108.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $267.39 / $372.16 / $526.20	Facility		$267.39	$372.16	$526.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $125.22 / $163.38	Professional		$96.25	$125.22	$163.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $132.36 / $132.91	Facility		$132.36	$132.36	$132.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $52.57 / $122.58	Professional		$37.86	$52.57	$122.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $136.15 / $180.93	Professional		$60.07	$136.15	$180.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $188.21 / $198.32	Facility		$188.21	$188.21	$198.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $97.83 / $136.93	Professional		$86.24	$97.83	$136.93
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $85.17 / $108.92	Professional		$82.20	$85.17	$108.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.73 / $334.90 / $389.75	Facility		$116.73	$334.90	$389.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $105.95 / $222.12	Professional		$66.62	$105.95	$222.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $124.90 / $173.68	Professional		$75.91	$124.90	$173.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $132.36 / $132.91	Facility		$132.36	$132.36	$132.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $65.48 / $130.07	Professional		$38.65	$65.48	$130.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $87.34 / $98.98	Professional		$79.14	$87.34	$98.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $99.29 / $141.05	Professional		$51.26	$99.29	$141.05