Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $123.18 / $237.99	Facility		$100.34	$123.18	$237.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $117.06 / $154.96	Professional		$90.35	$117.06	$154.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $122.08 / $198.71	Professional		$95.68	$122.08	$198.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $112.72 / $580.77	Professional		$59.28	$112.72	$580.77
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $134.29 / $245.03	Professional		$129.40	$134.29	$245.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $134.00 / $199.94	Professional		$95.00	$134.00	$199.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $150.00 / $191.37	Professional		$146.13	$150.00	$191.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $145.62 / $193.50	Professional		$120.99	$145.62	$193.50
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $112.72 / $580.77	Professional		$59.28	$112.72	$580.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.45 / $125.78 / $317.32	Facility		$102.45	$125.78	$317.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $128.56 / $208.02	Professional		$97.94	$128.56	$208.02
Optum Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $139.57 / $168.28	Professional		$117.51	$139.57	$168.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $140.40 / $183.12	Professional		$118.10	$140.40	$183.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $134.00 / $192.63	Professional		$95.00	$134.00	$192.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $119.65 / $144.51	Facility		$104.68	$119.65	$144.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $132.24 / $156.07	Professional		$104.68	$132.24	$156.07
United Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $143.04 / $246.14	Professional		$113.66	$143.04	$246.14