Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $75.25 / $161.00	Facility		$54.80	$75.25	$161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $64.34 / $92.82	Professional		$52.08	$64.34	$92.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $62.22 / $113.42	Professional		$51.01	$62.22	$113.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $63.07 / $113.34	Professional		$52.56	$63.07	$113.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $100.86 / $134.80	Professional		$79.20	$100.86	$134.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $118.77 / $118.77	Facility		$60.00	$118.77	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.92 / $116.50	Professional		$45.00	$65.92	$116.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $118.49	Professional		$32.00	$32.00	$118.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $82.24 / $133.77	Facility		$46.80	$82.24	$133.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $70.98 / $100.06	Professional		$61.06	$70.98	$100.06
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $63.07 / $113.34	Professional		$52.56	$63.07	$113.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $79.01 / $161.81	Facility		$54.80	$79.01	$161.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $68.29 / $110.74	Professional		$48.00	$68.29	$110.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.03 / $93.43	Professional		$45.00	$65.03	$93.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $279.43 / $279.43 / $279.43	Facility		$279.43	$279.43	$279.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $63.79 / $88.17	Professional		$39.00	$63.79	$88.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $118.77 / $118.77	Facility		$60.00	$118.77	$118.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.00 / $113.10	Professional		$45.00	$65.00	$113.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $56.93 / $74.33	Facility		$45.37	$56.93	$74.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $64.11 / $74.33	Professional		$45.90	$64.11	$74.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $72.86 / $127.86	Professional		$51.92	$72.86	$127.86