Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $224.38 / $2,305.23	Facility		$67.95	$224.38	$2,305.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $73.84 / $129.12	Professional		$65.15	$73.84	$129.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $69.52 / $91.33	Professional		$62.12	$69.52	$91.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $82.33 / $128.88	Professional		$73.51	$82.33	$128.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $73.11 / $138.58	Professional		$70.45	$73.11	$138.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $451.00 / $1,863.00	Facility		$80.95	$451.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $84.68 / $148.19	Professional		$64.73	$84.68	$148.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $152.63 / $152.63	Facility		$152.63	$152.63	$152.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $96.19 / $143.96	Professional		$79.42	$96.19	$143.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.24 / $975.94 / $2,423.51	Facility		$812.24	$975.94	$2,423.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $84.98 / $95.66	Professional		$79.06	$84.98	$95.66
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $82.33 / $128.88	Professional		$73.51	$82.33	$128.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $2,296.50 / $2,305.23	Facility		$224.38	$2,296.50	$2,305.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $79.15 / $161.66	Professional		$67.95	$79.15	$161.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.90 / $320.85 / $2,025.00	Facility		$97.90	$320.85	$2,025.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $120.24 / $149.00	Professional		$97.90	$120.24	$149.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $451.00 / $1,863.00	Facility		$80.95	$451.00	$1,863.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $84.55 / $143.72	Professional		$64.73	$84.55	$143.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $168.87 / $168.87	Facility		$168.87	$168.87	$168.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $70.13 / $75.64	Professional		$68.06	$70.13	$75.64
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $562.00 / $900.00	Facility		$385.00	$562.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $76.25 / $125.81	Professional		$60.08	$76.25	$125.81