Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $1,633.00 / $8,104.00	Facility		$135.19	$1,633.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $115.93 / $266.39	Professional		$63.71	$115.93	$266.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $79.06 / $138.22	Professional		$74.55	$79.06	$138.22
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 $150.40 / $152.01 / $156.08	Professional		$150.40	$152.01	$156.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $125.58 / $236.37	Professional		$67.80	$125.58	$236.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $181.40 / $240.32	Professional		$28.80	$181.40	$240.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.57 / $1,773.57 / $1,773.57	Facility		$1,773.57	$1,773.57	$1,773.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $148.74 / $154.69	Professional		$126.43	$148.74	$154.69
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $78.54 / $138.22	Professional		$74.55	$78.54	$138.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,964.00 / $8,247.00	Facility		$540.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $135.19 / $309.20	Professional		$65.79	$135.19	$309.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $114.30 / $212.06	Professional		$69.93	$114.30	$212.06
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Facility		$126.24	$126.24	$126.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $133.41 / $247.42	Professional		$69.93	$133.41	$247.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $79.69 / $151.71	Facility		$73.30	$79.69	$151.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $110.61 / $163.18	Professional		$73.30	$110.61	$163.18
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 $107.25 / $159.61 / $274.97	Professional		$107.25	$159.61	$274.97