Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.46 / $216.90 / $1,359.00	Facility		$196.46	$216.90	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.96 / $204.86 / $317.57	Professional		$185.96	$204.86	$317.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $288.00 / $384.00	Professional		$182.54	$288.00	$384.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $227.40 / $267.79	Professional		$209.41	$227.40	$267.79
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 $206.70 / $214.50 / $353.14	Professional		$206.70	$214.50	$353.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $263.25 / $451.50	Professional		$194.96	$263.25	$451.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.63 / $301.67 / $410.21	Professional		$207.63	$301.67	$410.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $248.67 / $2,059.85	Professional		$225.85	$248.67	$2,059.85
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $234.54 / $437.52	Professional		$209.41	$234.54	$437.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $220.61 / $1,812.00	Facility		$216.90	$220.61	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $226.11 / $527.00	Professional		$193.37	$226.11	$527.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $261.86 / $397.66	Professional		$195.49	$261.86	$397.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $263.79 / $470.54	Professional		$195.00	$263.79	$470.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.14 / $202.62 / $232.73	Facility		$199.14	$202.62	$232.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $197.29 / $202.80 / $229.37	Professional		$197.29	$202.80	$229.37
United Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $251.87 / $426.62	Professional		$192.45	$251.87	$426.62