Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.54 / $141.02 / $1,359.00	Facility		$127.54	$141.02	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $132.07 / $204.63	Professional		$120.16	$132.07	$204.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $193.89 / $249.86	Professional		$118.91	$193.89	$249.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $148.15 / $174.47	Professional		$136.43	$148.15	$174.47
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 $134.65 / $139.72 / $229.36	Professional		$134.65	$139.72	$229.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $170.93 / $292.64	Professional		$126.38	$170.93	$292.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $196.55 / $267.50	Professional		$135.66	$196.55	$267.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $161.28 / $308.70	Professional		$147.12	$161.28	$308.70
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $151.91 / $284.76	Professional		$136.43	$151.91	$284.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $143.24 / $1,812.00	Facility		$141.02	$143.24	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $145.99 / $328.06	Professional		$125.69	$145.99	$328.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $170.42 / $258.85	Professional		$127.42	$170.42	$258.85
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.03 / $170.99 / $303.89	Professional		$127.03	$170.99	$303.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.81 / $131.02 / $150.37	Facility		$128.81	$131.02	$150.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $131.12 / $148.13	Professional		$127.60	$131.12	$148.13
United Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $157.21 / $256.00	Professional		$124.30	$157.21	$256.00