Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $242.08 / $419.58	Facility		$61.38	$242.08	$419.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $58.76 / $234.90	Professional		$43.70	$58.76	$234.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $52.84 / $56.76	Professional		$46.90	$52.84	$56.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $144.00 / $2,602.17	Facility		$93.00	$144.00	$2,602.17
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 $54.38 / $56.43 / $96.92	Professional		$54.38	$56.43	$96.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $119.99 / $119.99 / $119.99	Facility		$119.99	$119.99	$119.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $80.39 / $111.86	Professional		$62.53	$80.39	$111.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $136.35 / $235.24	Facility		$67.23	$136.35	$235.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $62.64 / $72.56	Professional		$55.22	$62.64	$72.56
Highmark BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $52.20 / $52.20 / $55.22	Professional	25	$52.20	$52.20	$55.22
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $144.00 / $2,602.17	Facility		$55.18	$144.00	$2,602.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $192.14 / $432.96	Facility		$61.31	$192.14	$432.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $75.53 / $294.00	Professional		$46.06	$75.53	$294.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $76.40 / $76.40	Facility		$76.40	$76.40	$76.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $91.40 / $139.80	Professional		$76.40	$91.40	$139.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $53.23 / $60.00	Facility		$28.70	$53.23	$60.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $53.23 / $55.88	Professional		$52.14	$53.23	$55.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $56.43 / $104.29	Professional		$27.74	$56.43	$104.29