Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $98.26 / $172.94	Facility		$75.56	$98.26	$172.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $104.12 / $240.24	Professional		$70.19	$104.12	$240.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $108.84 / $131.53	Professional		$96.00	$108.84	$131.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $110.44 / $110.44	Professional		$110.44	$110.44	$110.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $162.99 / $210.71	Professional		$123.61	$162.99	$210.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $112.96 / $185.01	Professional		$78.06	$112.96	$185.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $179.74 / $179.74	Facility		$179.74	$179.74	$179.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $131.54 / $220.80	Professional		$42.50	$131.54	$220.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $73.06 / $170.00	Facility		$69.08	$73.06	$170.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $142.29 / $176.63	Professional		$112.86	$142.29	$176.63
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $110.44 / $110.44	Professional		$110.44	$110.44	$110.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $83.30 / $158.47	Facility		$75.56	$83.30	$158.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $123.01 / $232.88	Professional		$75.56	$123.01	$232.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $106.56 / $246.90	Professional		$85.00	$106.56	$246.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $96.09 / $110.81 / $110.81	Facility		$96.09	$110.81	$110.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $113.05 / $188.37	Professional		$79.93	$113.05	$188.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $95.38 / $111.54	Facility		$95.38	$95.38	$111.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $111.54 / $111.54	Professional		$95.38	$111.54	$111.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $123.82 / $205.43	Professional		$89.92	$123.82	$205.43