Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $110.22 / $200.40	Facility		$83.17	$110.22	$200.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $83.23 / $119.21	Professional		$62.09	$83.23	$119.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $77.06 / $148.38	Professional		$71.86	$77.06	$148.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $85.58 / $107.85	Professional		$59.06	$85.58	$107.85
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $111.83 / $156.26	Professional		$96.10	$111.83	$156.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $90.00 / $170.46	Professional		$58.41	$90.00	$170.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $126.60 / $140.50	Professional		$93.39	$126.60	$140.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $99.24 / $114.69	Professional		$89.42	$99.24	$114.69
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $87.98 / $103.51	Professional		$55.64	$87.98	$103.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $110.22 / $200.40	Facility		$77.86	$110.22	$200.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $94.42 / $157.78	Professional		$66.70	$94.42	$157.78
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	25	$120.00	$120.00	$120.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $92.16 / $111.34	Professional		$53.00	$92.16	$111.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $88.11 / $108.58	Professional		$53.00	$88.11	$108.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $89.00 / $170.73	Professional		$53.25	$89.00	$170.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $77.59 / $90.49	Facility		$62.00	$77.59	$90.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $84.29 / $102.06	Professional		$73.90	$84.29	$102.06
United Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $92.52 / $165.91	Professional		$64.90	$92.52	$165.91