Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $168.18 / $568.00	Professional		$114.87	$168.18	$568.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $118.56 / $182.21	Professional		$105.80	$118.56	$182.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $257.39 / $346.30	Professional		$240.56	$257.39	$346.30
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $168.56 / $246.55	Professional		$129.11	$168.56	$246.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $181.32 / $295.48	Professional		$122.43	$181.32	$295.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $194.15 / $604.50	Professional		$144.96	$194.15	$604.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $166.30 / $218.97	Professional		$157.21	$166.30	$218.97
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.66 / $261.22 / $317.32	Professional		$125.66	$261.22	$317.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $177.70 / $464.17	Professional		$114.87	$177.70	$464.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $188.49 / $373.20	Professional		$74.80	$188.49	$373.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $179.26 / $296.08	Professional		$124.40	$179.26	$296.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $123.88 / $201.96	Professional		$121.72	$123.88	$201.96
United Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $149.62 / $246.36	Professional		$114.14	$149.62	$246.36