Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $114.84 / $234.63	Facility		$81.02	$114.84	$234.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $104.12 / $142.75	Professional		$68.45	$104.12	$142.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $229.93 / $229.93	Professional		$168.00	$229.93	$229.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $157.11 / $158.66	Professional		$157.05	$157.11	$158.66
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $169.11 / $236.09	Professional		$136.38	$169.11	$236.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $141.54 / $240.60	Professional		$87.22	$141.54	$240.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $188.87 / $280.17	Professional		$139.33	$188.87	$280.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $124.35 / $217.39	Professional		$118.47	$124.35	$217.39
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $151.01 / $158.66	Professional		$151.01	$151.01	$158.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $115.08 / $356.72	Facility		$81.02	$115.08	$356.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $114.09 / $197.99	Professional		$73.04	$114.09	$197.99
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $405.60 / $405.60 / $405.60	Professional	25	$405.60	$405.60	$405.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $138.60 / $163.50	Professional		$138.60	$138.60	$163.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $143.13 / $253.72	Professional		$92.50	$143.13	$253.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $99.08 / $137.65	Facility		$87.79	$99.08	$137.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $134.91 / $145.38	Professional		$96.53	$134.91	$145.38
United Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $146.96 / $236.54	Professional		$109.52	$146.96	$236.54