Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $106.23 / $145.46	Facility		$64.89	$106.23	$145.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $75.31 / $117.06	Professional		$61.50	$75.31	$117.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $106.74 / $106.74	Professional		$82.04	$106.74	$106.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $97.03 / $138.09	Professional		$96.28	$97.03	$138.09
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 $85.01 / $88.22 / $158.06	Professional		$85.01	$88.22	$158.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $96.25 / $152.78	Professional		$66.89	$96.25	$152.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $153.44 / $153.44	Facility		$153.44	$153.44	$153.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $125.62 / $174.53	Professional		$97.70	$125.62	$174.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $92.83 / $115.38	Professional		$88.31	$92.83	$115.38
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $97.03 / $151.59	Professional		$95.39	$97.03	$151.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $77.76 / $201.00	Facility		$64.89	$77.76	$201.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $90.05 / $193.73	Professional		$65.37	$90.05	$193.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Facility		$22.70	$22.70	$22.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $80.20 / $181.90	Professional		$22.70	$80.20	$181.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $97.66	Facility		$94.69	$94.69	$97.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $96.25 / $153.00	Professional		$66.89	$96.25	$153.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $99.82 / $111.63	Facility		$85.97	$99.82	$111.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $110.52	Professional		$99.82	$99.82	$110.52
United Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $99.08 / $162.65	Professional		$79.19	$99.08	$162.65