Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $200.96 / $3,839.00	Facility		$51.17	$200.96	$3,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $54.64 / $144.75	Professional		$19.71	$54.64	$144.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $59.78 / $59.78	Professional		$59.78	$59.78	$59.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $104.01 / $129.72	Professional		$78.80	$104.01	$129.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $328.00 / $328.00	Facility		$328.00	$328.00	$328.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $56.27 / $106.79	Professional		$21.27	$56.27	$106.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $95.58 / $126.53	Professional		$24.00	$95.58	$126.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $315.39 / $687.73	Facility		$21.88	$315.39	$687.73
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $59.78 / $59.78	Professional		$59.78	$59.78	$59.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $1,544.00 / $7,175.00	Facility		$165.08	$1,544.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $68.91 / $228.71	Professional		$21.38	$68.91	$228.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $36.00 / $113.83	Professional		$20.97	$36.00	$113.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $328.00	Facility		$38.20	$38.20	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $55.18 / $108.60	Professional		$22.02	$55.18	$108.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $32.36 / $79.19	Facility		$21.65	$32.36	$79.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $43.80 / $85.68	Professional		$21.65	$43.80	$85.68
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $75.80 / $135.19	Professional		$53.16	$75.80	$135.19