Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $152.03 / $588.36	Facility		$152.03	$152.03	$588.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $203.06 / $721.50	Professional		$151.19	$203.06	$721.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $174.19 / $174.19	Professional		$174.19	$174.19	$174.19
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 $281.29 / $369.41 / $369.41	Professional		$281.29	$369.41	$369.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $369.41	Facility		$211.27	$211.27	$369.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $323.47	Professional		$154.22	$154.22	$323.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $369.41 / $701.88	Professional		$339.86	$369.41	$701.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.09 / $813.09 / $813.09	Facility		$813.09	$813.09	$813.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.44 / $258.58 / $293.69	Professional		$249.44	$258.58	$293.69
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $174.19 / $770.07	Professional		$174.19	$174.19	$770.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $152.03 / $588.36	Facility		$152.03	$152.03	$588.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $203.06 / $721.50	Professional		$152.03	$203.06	$721.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $217.70 / $727.80	Professional		$198.80	$217.70	$727.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $369.41	Facility		$211.27	$211.27	$369.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $438.75	Professional		$154.22	$154.22	$438.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $236.46 / $351.61 / $351.61	Facility		$236.46	$351.61	$351.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $236.46 / $351.61 / $360.25	Professional		$236.46	$351.61	$360.25
United Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $184.30 / $307.16	Professional		$139.75	$184.30	$307.16