Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $111.83 / $468.76	Facility		$69.63	$111.83	$468.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $197.00 / $394.00	Professional		$149.60	$197.00	$394.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $295.00 / $295.00	Professional		$295.00	$295.00	$295.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $182.23 / $182.23 / $182.23	Professional		$182.23	$182.23	$182.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $158.87 / $186.90 / $8,639.91	Facility		$158.87	$186.90	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $210.30 / $747.58	Facility		$21.60	$210.30	$747.58
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $182.23	Professional		$177.56	$177.56	$182.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $111.83 / $452.68	Facility		$57.60	$111.83	$452.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $202.27 / $394.00	Professional		$150.44	$202.27	$394.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $299.83 / $377.20	Facility		$264.14	$299.83	$377.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $176.47	Facility		$152.08	$152.08	$176.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $152.08 / $176.47	Professional		$152.08	$152.08	$176.47
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $186.90 / $285.02	Professional		$155.75	$186.90	$285.02