Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $124.19 / $306.29	Facility		$73.34	$124.19	$306.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $89.39 / $135.78	Professional		$68.95	$89.39	$135.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $78.12 / $117.07	Professional		$67.53	$78.12	$117.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $108.13 / $146.68	Professional		$78.00	$108.13	$146.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $133.69 / $177.83	Professional		$108.47	$133.69	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $156.66 / $156.66	Facility		$55.00	$156.66	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $92.80 / $155.06	Professional		$65.00	$92.80	$155.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $156.31	Professional		$65.00	$65.00	$156.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $108.64 / $414.00	Facility		$68.25	$108.64	$414.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $94.06 / $132.27	Professional		$80.23	$94.06	$132.27
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $154.57 / $154.57 / $154.57	Facility		$154.57	$154.57	$154.57
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $101.31 / $145.40	Professional		$78.00	$101.31	$145.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $155.00 / $360.00	Facility		$73.34	$155.00	$360.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $93.50 / $158.11	Professional		$73.34	$93.50	$158.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $95.00 / $134.37	Professional		$70.50	$95.00	$134.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.30 / $279.43 / $289.17	Facility		$162.30	$279.43	$289.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $95.00 / $124.84	Professional		$70.00	$95.00	$124.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $156.66 / $156.66	Facility		$55.00	$156.66	$156.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $91.90 / $151.93	Professional		$65.00	$91.90	$151.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $74.13 / $98.30	Facility		$68.06	$74.13	$98.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $89.26 / $102.06	Professional		$73.98	$89.26	$102.06
United Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $98.52 / $171.11	Professional		$73.06	$98.52	$171.11