Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $92.93 / $2,747.00	Facility		$67.29	$92.93	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $39.40 / $130.44	Professional		$21.82	$39.40	$130.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Professional		$32.74	$32.74	$32.74
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 $44.26 / $68.26 / $81.09	Professional		$44.26	$68.26	$81.09
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 $22.91 / $41.75 / $70.34	Professional		$22.91	$41.75	$70.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $67.22 / $69.00	Professional		$52.28	$67.22	$69.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $204.00 / $315.64	Facility		$172.00	$204.00	$315.64
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $45.64 / $45.64	Professional		$32.74	$45.64	$45.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $1,246.00 / $6,432.00	Facility		$51.92	$1,246.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $41.75 / $180.00	Professional		$22.82	$41.75	$180.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $92.88 / $92.88	Facility		$92.88	$92.88	$92.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $50.20 / $53.00	Professional		$50.20	$50.20	$53.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $328.00	Facility		$41.11	$41.11	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $42.28 / $78.12	Professional		$23.69	$42.28	$78.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $34.29 / $45.54	Facility		$23.32	$34.29	$45.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $42.12 / $45.64	Professional		$23.32	$42.12	$45.64
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 $38.15 / $48.89 / $85.28	Professional		$38.15	$48.89	$85.28