Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.60 / $541.15 / $1,949.04	Facility		$383.60	$541.15	$1,949.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.93 / $237.37 / $307.58	Professional		$211.93	$237.37	$307.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $262.43 / $298.89	Professional		$236.17	$262.43	$298.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,075.68 / $3,075.68 / $3,075.68	Facility		$3,075.68	$3,075.68	$3,075.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $285.02 / $285.02	Professional		$274.67	$285.02	$285.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $351.63	Facility		$287.45	$287.45	$351.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $307.68 / $584.94	Professional		$190.34	$307.68	$584.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $354.99 / $464.47	Professional		$248.27	$354.99	$464.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $524.02 / $1,082.80	Facility		$279.89	$524.02	$1,082.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $261.44 / $261.44	Professional		$245.33	$261.44	$261.44
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,075.68 / $3,075.68 / $3,896.64	Facility		$3,075.68	$3,075.68	$3,896.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $391.35 / $616.71 / $2,668.80	Facility		$391.35	$616.71	$2,668.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $242.61 / $616.08	Professional		$223.76	$242.61	$616.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $286.10 / $463.08	Professional		$259.70	$286.10	$463.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $150.52 / $287.45 / $308.74	Facility		$150.52	$287.45	$308.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $307.68 / $765.42	Professional		$190.34	$307.68	$765.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $259.12 / $259.12 / $275.00	Facility		$259.12	$259.12	$275.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $259.12 / $264.30	Professional		$159.32	$259.12	$264.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $273.11 / $468.17	Professional		$213.16	$273.11	$468.17