Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.24 / $127.08 / $371.13	Facility		$59.24	$127.08	$371.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $122.40	Professional		$55.10	$56.42	$122.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $52.27 / $52.27	Professional		$52.27	$52.27	$52.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $9.65 / $1,620.26	Facility		$8.21	$9.65	$1,620.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.62 / $107.79 / $8,459.92	Facility		$91.62	$107.79	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $107.79 / $107.79	Professional		$107.79	$107.79	$107.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $216.36 / $378.61	Facility		$45.54	$216.36	$378.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $9.36 / $1,555.64	Facility		$8.21	$9.36	$1,555.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $129.87 / $380.80	Facility		$62.37	$129.87	$380.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $56.42 / $128.80	Professional		$55.10	$56.42	$128.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $601.47 / $621.52 / $864.61	Facility		$601.47	$621.52	$864.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $170.09 / $233.12	Professional		$114.69	$170.09	$233.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $69.37	Facility		$63.06	$63.06	$69.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $63.06 / $69.37	Professional		$59.74	$63.06	$69.37
United Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $97.38	Professional		$56.50	$56.50	$97.38