Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.49 / $127.75 / $778.11	Facility		$97.49	$127.75	$778.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $107.20 / $135.80	Professional		$87.93	$107.20	$135.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $103.85 / $127.53	Professional		$99.06	$103.85	$127.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $109.31 / $120.19	Professional		$52.00	$109.31	$120.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $126.37 / $219.29	Professional		$121.77	$126.37	$219.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $119.00 / $193.45	Professional		$87.20	$119.00	$193.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $137.13 / $179.69	Professional		$106.76	$137.13	$179.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.36 / $128.36 / $130.86	Facility		$128.36	$128.36	$130.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.74 / $130.86 / $198.29	Professional		$113.74	$130.86	$198.29
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $99.37 / $119.24	Professional		$52.00	$99.37	$119.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.49 / $123.80 / $778.11	Facility		$97.49	$123.80	$778.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $115.93 / $176.26	Professional		$92.15	$115.93	$176.26
Optum Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $126.32 / $156.08	Professional		$98.50	$126.32	$156.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $126.32 / $163.94	Professional		$97.09	$126.32	$163.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $119.00 / $181.07	Professional		$87.00	$119.00	$181.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $117.96 / $129.33	Facility		$107.21	$117.96	$129.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $122.14 / $139.68	Professional		$107.21	$122.14	$139.68
United Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $126.37 / $220.64	Professional		$102.42	$126.37	$220.64