Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $85.17 / $85.17	Facility		$67.42	$85.17	$85.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $123.34 / $309.98	Professional		$67.42	$123.34	$309.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $88.48 / $142.03	Professional		$60.00	$88.48	$142.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $70.62 / $114.01	Professional		$58.98	$70.62	$114.01
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 $60.40 / $62.68 / $102.76	Professional		$60.40	$62.68	$102.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $108.25 / $108.25	Facility		$108.25	$108.25	$108.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $34.52 / $114.22	Professional		$28.07	$34.52	$114.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $84.23 / $110.69	Professional		$79.04	$84.23	$110.69
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $78.04 / $114.01	Professional		$65.03	$78.04	$114.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $85.17 / $85.17	Facility		$85.17	$85.17	$85.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $123.34 / $219.09	Professional		$66.66	$123.34	$219.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $74.70 / $150.38	Professional		$61.90	$74.70	$150.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $108.25 / $108.25	Facility		$108.25	$108.25	$108.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $59.06 / $61.91	Facility		$59.06	$59.06	$61.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $60.24 / $65.84	Professional		$20.79	$60.24	$65.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $76.65 / $121.20	Professional		$51.28	$76.65	$121.20