Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $112.59 / $162.34	Facility		$53.94	$112.59	$162.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.51 / $64.61	Professional		$57.50	$57.51	$64.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $602.36 / $1,289.69	Facility		$54.29	$602.36	$1,289.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $62.39 / $8,459.92	Facility		$53.26	$62.39	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $59.68 / $59.68	Professional		$59.68	$59.68	$59.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $57.51 / $57.51	Facility		$54.25	$57.51	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $62.39 / $72.75	Professional		$59.68	$62.39	$72.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $72.28 / $152.40	Facility		$10.36	$72.28	$152.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $60.90 / $60.90	Professional		$60.90	$60.90	$60.90
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $63.79 / $1,238.25	Facility		$54.29	$63.79	$1,238.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $115.27 / $226.93	Facility		$53.94	$115.27	$226.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $57.51 / $96.44	Professional		$53.94	$57.51	$96.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $27.40 / $96.20	Professional		$16.70	$27.40	$96.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $57.51 / $57.51	Facility		$54.25	$57.51	$57.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $59.68	Professional		$57.51	$57.51	$59.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $49.94	Facility		$43.04	$43.04	$49.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $43.04 / $49.94	Professional		$43.04	$43.04	$49.94
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $73.61	Professional		$57.51	$57.51	$73.61