Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.07 / $1,978.00 / $7,629.00	Facility		$171.07	$1,978.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $149.47 / $252.74	Professional		$62.06	$149.47	$252.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $117.20 / $117.20	Professional		$117.20	$117.20	$117.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $160.13 / $273.54	Professional		$150.99	$160.13	$273.54
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 $136.52 / $171.43 / $289.67	Professional		$136.52	$171.43	$289.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $375.56 / $484.27	Facility		$94.98	$375.56	$484.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $135.22 / $236.04	Professional		$52.29	$135.22	$236.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $212.57 / $218.66	Professional		$165.33	$212.57	$218.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $917.68 / $917.68 / $917.68	Facility		$917.68	$917.68	$917.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $148.74 / $148.74	Professional		$118.83	$148.74	$148.74
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $154.16 / $273.54	Professional		$150.99	$154.16	$273.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $508.07 / $2,070.00 / $7,799.00	Facility		$508.07	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $158.63 / $508.07	Professional		$62.06	$158.63	$508.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $190.61 / $193.67	Professional		$47.53	$190.61	$193.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $191.15 / $403.23	Facility		$81.31	$191.15	$403.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $135.56 / $246.27	Professional		$54.67	$135.56	$246.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $113.86 / $150.22	Facility		$61.70	$113.86	$150.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $139.19 / $161.90	Professional		$61.43	$139.19	$161.90
United Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $163.06 / $317.07	Professional		$134.77	$163.06	$317.07