Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.34 / $228.14 / $570.16	Facility		$134.34	$228.14	$570.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.60 / $368.84 / $619.54	Professional		$264.60	$368.84	$619.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $490.00 / $610.00	Professional		$490.00	$490.00	$610.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $281.60 / $394.24 / $2,639.42	Facility		$281.60	$394.24	$2,639.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $273.08 / $321.27	Professional		$273.08	$273.08	$321.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $329.37 / $8,639.91	Facility		$279.95	$329.37	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $312.89	Professional		$312.89	$312.89	$312.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $263.60 / $1,419.00	Facility		$121.37	$263.60	$1,419.00
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $281.60 / $491.34 / $2,030.33	Facility		$281.60	$491.34	$2,030.33
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $312.89 / $321.27	Professional		$273.08	$312.89	$321.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $340.59 / $1,599.72	Facility		$96.00	$340.59	$1,599.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $360.83 / $595.14	Professional		$283.72	$360.83	$595.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $443.69 / $564.13 / $879.91	Facility		$443.69	$564.13	$879.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $283.72 / $283.72 / $329.22	Facility		$283.72	$283.72	$329.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $283.72 / $329.22	Professional		$283.72	$283.72	$329.22
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $334.54 / $418.18	Professional		$274.60	$334.54	$418.18