Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.03 / $210.83 / $528.00	Facility		$177.03	$210.83	$528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $160.94 / $671.00	Professional		$131.55	$160.94	$671.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $170.91 / $436.00	Professional		$72.56	$170.91	$436.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,292.52 / $7,527.07 / $12,158.41	Facility		$3,292.52	$7,527.07	$12,158.41
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 $387.85 / $402.49 / $659.89	Professional		$387.85	$402.49	$659.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $102.95 / $123.35	Professional		$98.10	$102.95	$123.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $147.87 / $831.68	Professional		$98.29	$147.87	$831.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $1,107.65 / $1,656.42	Facility		$143.16	$1,107.65	$1,656.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $262.83 / $441.15	Professional		$209.63	$262.83	$441.15
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,315.24 / $7,010.62 / $12,158.41	Facility		$3,315.24	$7,010.62	$12,158.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $190.75 / $528.00	Facility		$171.02	$190.75	$528.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $160.94 / $671.00	Professional		$131.55	$160.94	$671.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $325.00 / $762.30	Professional		$121.21	$325.00	$762.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $102.95 / $123.35	Professional		$98.10	$102.95	$123.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $219.61 / $219.61 / $365.75	Facility		$219.61	$219.61	$365.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $235.95 / $365.75	Professional		$72.56	$235.95	$365.75
United Facility/Professional Professional Modifier Low / Median / High Price $281.32 / $402.49 / $688.34	Professional		$281.32	$402.49	$688.34