Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.19 / $1,371.93 / $1,734.80	Facility		$403.19	$1,371.93	$1,734.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $157.47 / $218.08	Professional		$153.22	$157.47	$218.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,415.94 / $1,415.94 / $1,415.94	Facility		$1,415.94	$1,415.94	$1,415.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $175.91 / $175.91	Professional		$149.52	$175.91	$175.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $682.12 / $1,428.60	Facility		$227.29	$682.12	$1,428.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $576.98 / $576.98 / $576.98	Facility		$576.98	$576.98	$576.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $369.33 / $552.72	Professional		$218.13	$369.33	$552.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.16 / $1,033.00 / $1,590.46	Facility		$760.16	$1,033.00	$1,590.46
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,415.94 / $1,415.94 / $1,793.89	Facility		$1,415.94	$1,415.94	$1,793.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $403.19 / $998.69 / $1,827.57	Facility		$403.19	$998.69	$1,827.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $160.26 / $238.47	Professional		$153.22	$160.26	$238.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $64.59 / $64.59	Facility		$64.59	$64.59	$64.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $64.59 / $79.30	Professional		$64.59	$64.59	$79.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $519.76 / $1,428.60	Facility		$227.29	$519.76	$1,428.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $169.30	Facility		$159.91	$159.91	$169.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $163.12 / $254.71	Professional		$159.91	$163.12	$254.71
United Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $208.10 / $359.42	Professional		$146.58	$208.10	$359.42