Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $100.26 / $129.06	Facility		$73.89	$100.26	$129.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $116.47 / $270.55	Professional		$71.22	$116.47	$270.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $118.73 / $178.51	Professional		$100.92	$118.73	$178.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $138.03 / $232.60	Professional		$112.77	$138.03	$232.60
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 $127.22 / $166.88 / $215.31	Professional		$127.22	$166.88	$215.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $115.37 / $190.21	Professional		$80.14	$115.37	$190.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.52 / $186.52 / $186.52	Facility		$186.52	$186.52	$186.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $135.49 / $227.93	Professional		$46.75	$135.49	$227.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $69.08 / $76.23	Facility		$37.34	$69.08	$76.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $122.88 / $148.85	Professional		$99.56	$122.88	$148.85
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $139.40 / $232.60	Professional		$112.77	$139.40	$232.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $83.30 / $122.40	Facility		$73.89	$83.30	$122.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $125.61 / $247.43	Professional		$77.97	$125.61	$247.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $66.90 / $66.90	Facility		$58.50	$66.90	$66.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $109.67 / $251.90	Professional		$84.00	$109.67	$251.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $97.26 / $114.80 / $114.80	Facility		$97.26	$114.80	$114.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $115.54 / $193.43	Professional		$81.47	$115.54	$193.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $94.92 / $94.92 / $111.22	Facility		$94.92	$94.92	$111.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $111.22 / $111.22	Professional		$94.92	$111.22	$111.22
United Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $124.30 / $206.40	Professional		$91.15	$124.30	$206.40