Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.71 / $150.72 / $153.91	Facility		$114.71	$150.72	$153.91
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $117.05 / $148.71 / $150.72	Facility	25	$117.05	$148.71	$150.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $131.77 / $241.66	Professional		$76.40	$131.77	$241.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.51 / $159.37 / $350.00	Professional	25	$127.51	$159.37	$350.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $149.00 / $174.10	Professional		$127.25	$149.00	$174.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $136.83 / $136.83 / $142.88	Professional	25	$136.83	$136.83	$142.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $165.24 / $374.29	Professional		$129.66	$165.24	$374.29
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $150.51 / $283.83	Professional		$140.19	$150.51	$283.83
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $141.41 / $156.19 / $283.83	Professional	50	$141.41	$156.19	$283.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $123.60 / $202.62	Professional		$73.95	$123.60	$202.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $70.00 / $222.79	Professional		$25.00	$70.00	$222.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $140.27 / $183.00	Professional		$112.47	$140.27	$183.00
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $84.97 / $135.47 / $162.63	Professional	25	$84.97	$135.47	$162.63
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $165.22 / $374.29	Professional		$138.86	$165.22	$374.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.71 / $150.72 / $153.91	Facility		$114.71	$150.72	$153.91
Martin's Point Facility/Professional Facility Modifier 25 Low / Median / High Price $117.05 / $148.71 / $150.72	Facility	25	$117.05	$148.71	$150.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $138.81 / $250.19	Professional		$85.32	$138.81	$250.19
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $133.31 / $167.22 / $350.00	Professional	25	$133.31	$167.22	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $124.20 / $228.78	Professional		$124.20	$124.20	$228.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $123.60 / $209.49	Professional		$74.00	$123.60	$209.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $121.67 / $147.36	Professional		$89.79	$121.67	$147.36
United Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $146.29 / $221.50	Professional		$98.60	$146.29	$221.50