Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $62.14 / $87.42	Facility		$54.51	$62.14	$87.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $82.36 / $174.06	Professional		$55.76	$82.36	$174.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $92.21 / $135.00	Professional		$74.51	$92.21	$135.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $79.05 / $129.35	Professional		$70.26	$79.05	$129.35
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 $78.98 / $105.48 / $131.90	Professional		$78.98	$105.48	$131.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $86.89 / $128.96	Professional		$62.30	$86.89	$128.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $90.23 / $151.63	Professional		$42.00	$90.23	$151.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $75.59	Facility		$75.59	$75.59	$75.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $82.35 / $119.01	Professional		$74.48	$82.35	$119.01
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $80.20 / $142.11	Professional		$73.78	$80.20	$142.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $58.55 / $87.42	Facility		$54.51	$58.55	$87.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $82.83 / $168.56	Professional		$56.69	$82.83	$168.56
Optum Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $81.58 / $89.73	Professional		$56.00	$81.58	$89.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $110.27 / $149.02	Professional		$62.50	$110.27	$149.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $86.86 / $131.41	Professional		$62.30	$86.86	$131.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $77.48 / $77.48	Facility		$76.02	$77.48	$77.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $77.48 / $80.55	Professional		$55.08	$77.48	$80.55
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $81.12 / $136.35	Professional		$60.06	$81.12	$136.35