Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $671.43 / $1,032.70	Facility		$209.88	$671.43	$1,032.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $179.83 / $246.92	Professional		$83.14	$179.83	$246.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $148.15 / $148.15	Professional		$148.15	$148.15	$148.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $269.10 / $1,982.04	Facility		$106.97	$269.10	$1,982.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $743.38 / $965.33 / $8,639.91	Facility		$743.38	$965.33	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $192.60 / $192.60	Professional		$192.60	$192.60	$192.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $240.75 / $434.04	Facility		$79.95	$240.75	$434.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $257.63	Professional		$60.16	$60.16	$257.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $145.68 / $334.33	Professional		$113.58	$145.68	$334.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.98 / $493.64 / $1,082.97	Facility		$277.98	$493.64	$1,082.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $177.50 / $209.89	Professional		$148.15	$177.50	$209.89
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.48 / $256.41 / $568.48	Facility		$125.48	$256.41	$568.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $230.87 / $617.29 / $1,019.78	Facility		$230.87	$617.29	$1,019.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $201.24 / $1,019.78	Professional		$141.26	$201.24	$1,019.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $397.21 / $397.21 / $499.70	Facility		$397.21	$397.21	$499.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.54 / $296.93 / $458.01	Facility		$104.54	$296.93	$458.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $257.63	Professional		$60.16	$60.16	$257.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $236.75 / $246.92 / $246.92	Facility		$236.75	$246.92	$246.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $217.29 / $246.92 / $246.92	Professional		$217.29	$246.92	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $419.76	Professional		$103.71	$148.15	$419.76