Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $557.29 / $3,839.00	Facility		$127.60	$557.29	$3,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $58.05 / $285.01	Professional		$20.25	$58.05	$285.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.70 / $82.85	Professional		$45.05	$45.70	$82.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $50.02 / $64.95	Professional		$41.85	$50.02	$64.95
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 $47.99 / $79.56 / $89.54	Professional		$47.99	$79.56	$89.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $45.14 / $90.64	Professional		$21.11	$45.14	$90.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $74.53 / $76.79	Professional		$57.97	$74.53	$76.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.97 / $265.95	Facility		$47.51	$47.97	$265.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $48.21 / $63.20	Professional		$21.17	$48.21	$63.20
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $50.02 / $71.40	Professional		$41.85	$50.02	$71.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $1,020.00 / $6,432.00	Facility		$129.47	$1,020.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $54.98 / $281.00	Professional		$20.76	$54.98	$281.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $59.40 / $68.42	Professional		$20.39	$59.40	$68.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Facility		$36.79	$36.79	$36.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $47.54 / $93.67	Professional		$21.40	$47.54	$93.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $25.64 / $57.19	Facility		$21.06	$25.64	$57.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $47.85 / $52.34	Professional		$21.06	$47.85	$52.34
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 $46.33 / $56.83 / $101.23	Professional		$46.33	$56.83	$101.23