Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $393.60 / $768.80	Facility		$103.14	$393.60	$768.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $93.53 / $132.25	Professional		$74.77	$93.53	$132.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $76.36 / $113.59	Professional		$71.31	$76.36	$113.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $114.30 / $150.68	Professional		$78.00	$114.30	$150.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $145.63 / $221.50	Professional		$107.93	$145.63	$221.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $176.58 / $176.58	Facility		$30.00	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $103.67 / $173.51	Professional		$70.00	$103.67	$173.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $152.80	Professional		$65.00	$65.00	$152.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $123.68	Facility		$104.22	$104.22	$123.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $93.15 / $127.52	Professional		$83.70	$93.15	$127.52
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $107.79 / $139.09	Professional		$78.00	$107.79	$139.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $313.20 / $626.40	Facility		$103.14	$313.20	$626.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.53 / $182.61	Professional		$75.86	$104.53	$182.61
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $102.54 / $138.63	Professional		$70.00	$102.54	$138.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $99.52 / $136.47	Professional		$69.00	$99.52	$136.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $176.58 / $176.58	Facility		$30.00	$176.58	$176.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $101.00 / $170.41	Professional		$70.00	$101.00	$170.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.25 / $98.57 / $113.84	Facility		$98.25	$98.57	$113.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $98.67 / $113.84	Professional		$77.76	$98.67	$113.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $108.71 / $193.11	Professional		$87.18	$108.71	$193.11