Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.76 / $862.60 / $8,017.00	Facility		$108.76	$862.60	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $85.90 / $225.99	Professional		$39.38	$85.90	$225.99
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $728.64 / $728.64 / $728.64	Professional		$728.64	$728.64	$728.64
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 $110.38 / $155.12 / $155.12	Professional		$110.38	$155.12	$155.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $85.42 / $176.29	Professional		$41.42	$85.42	$176.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $133.63 / $176.98	Professional		$19.20	$133.63	$176.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.03 / $451.74 / $2,499.62	Facility		$434.03	$451.74	$2,499.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $107.81 / $126.05	Professional		$77.22	$107.81	$126.05
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $728.64 / $728.64 / $728.64	Professional		$728.64	$728.64	$728.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $382.72 / $1,544.00 / $8,017.00	Facility		$382.72	$1,544.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $94.62 / $232.74	Professional		$40.76	$94.62	$232.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $81.20 / $156.44	Professional		$42.36	$81.20	$156.44
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $76.48 / $76.48	Facility		$76.48	$76.48	$76.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $88.06 / $180.29	Professional		$42.36	$88.06	$180.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $46.64 / $112.70	Facility		$44.72	$46.64	$112.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $75.54 / $121.70	Professional		$44.72	$75.54	$121.70
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 $75.17 / $118.81 / $201.02	Professional		$75.17	$118.81	$201.02