Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $290.14 / $751.05	Facility		$91.86	$290.14	$751.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $169.86 / $572.79	Professional		$84.93	$169.86	$572.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $66.18 / $148.38	Professional		$66.18	$66.18	$148.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $116.81 / $4,448.03	Facility		$99.41	$116.81	$4,448.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $62.27 / $62.27	Professional		$62.27	$62.27	$62.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $129.61 / $8,459.92	Facility		$110.17	$129.61	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $129.61 / $129.61	Professional		$129.61	$129.61	$129.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $99.41 / $116.95	Professional		$99.41	$99.41	$116.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $128.00 / $347.60	Facility		$36.76	$128.00	$347.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $113.45 / $4,270.63	Facility		$99.41	$113.45	$4,270.63
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $62.27 / $62.27	Professional		$62.27	$62.27	$62.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.15 / $301.81 / $905.19	Facility		$92.15	$301.81	$905.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $186.13 / $572.79	Professional		$84.93	$186.13	$572.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.17 / $2,109.21 / $2,717.03	Facility		$2,041.17	$2,109.21	$2,717.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $303.45 / $416.22	Professional		$204.39	$303.45	$416.22
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $97.21 / $97.21	Facility		$97.21	$97.21	$97.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $138.38	Professional		$97.21	$97.21	$138.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $111.28	Professional		$85.27	$85.27	$111.28