Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.18 / $335.18 / $335.18	Facility		$335.18	$335.18	$335.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $348.08 / $550.45	Professional		$268.74	$348.08	$550.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $333.80 / $458.18	Professional		$312.39	$333.80	$458.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $364.72 / $408.49 / $639.42	Professional		$364.72	$408.49	$639.42
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $367.18 / $563.70	Professional		$353.83	$367.18	$563.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.67 / $372.97 / $650.71	Professional		$292.67	$372.97	$650.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $773.41 / $773.41 / $773.41	Facility		$773.41	$773.41	$773.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $483.73 / $723.93	Professional		$352.39	$483.73	$723.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.70 / $417.69 / $548.89	Professional		$391.70	$417.69	$548.89
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $364.72 / $408.49 / $639.42	Professional		$364.72	$408.49	$639.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $379.66 / $676.31	Professional		$270.29	$379.66	$676.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $319.10 / $319.10 / $319.10	Facility		$319.10	$319.10	$319.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $492.20 / $712.80	Professional		$319.10	$492.20	$712.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $370.46 / $626.33	Professional		$289.00	$370.46	$626.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $344.14 / $344.14 / $344.14	Facility		$344.14	$344.14	$344.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $344.14 / $358.55	Professional		$289.30	$344.14	$358.55
United Facility/Professional Professional Modifier Low / Median / High Price $242.19 / $305.94 / $516.03	Professional		$242.19	$305.94	$516.03