Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $86.13 / $192.54	Facility		$75.40	$86.13	$192.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $80.45 / $105.70	Professional		$65.66	$80.45	$105.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $79.88 / $137.99	Professional		$72.45	$79.88	$137.99
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $77.79 / $92.45	Professional		$52.00	$77.79	$92.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $89.53 / $166.81	Professional		$86.27	$89.53	$166.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $91.00 / $138.63	Professional		$65.00	$91.00	$138.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $95.32 / $124.20	Professional		$81.20	$95.32	$124.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $92.09 / $93.42	Facility		$92.09	$92.09	$93.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $93.42 / $138.16	Professional		$85.41	$93.42	$138.16
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $81.33 / $88.49	Professional		$52.00	$81.33	$88.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $86.13 / $192.54	Facility		$75.40	$86.13	$192.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $88.17 / $148.54	Professional		$68.54	$88.17	$148.54
Optum Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $91.09 / $113.49	Professional		$74.92	$91.09	$113.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $91.09 / $122.20	Professional		$78.59	$91.09	$122.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $91.00 / $133.66	Professional		$65.00	$91.00	$133.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.87 / $85.35 / $98.37	Facility		$75.87	$85.35	$98.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $88.02 / $106.24	Professional		$75.87	$88.02	$106.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $93.83 / $168.98	Professional		$77.59	$93.83	$168.98