Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.24 / $988.00 / $5,526.00	Facility		$92.24	$988.00	$5,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $130.49 / $331.47	Professional		$68.59	$130.49	$331.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $106.83 / $106.83	Professional		$106.83	$106.83	$106.83
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 $99.14 / $102.88 / $262.66	Professional		$99.14	$102.88	$262.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $102.98 / $202.24	Professional		$62.32	$102.98	$202.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $153.74 / $159.04	Professional		$119.57	$153.74	$159.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.62 / $577.77 / $730.19	Facility		$333.62	$577.77	$730.19
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $106.83 / $106.83	Professional		$106.83	$106.83	$106.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $1,349.17 / $6,432.00	Facility		$93.48	$1,349.17	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $139.27 / $411.08	Professional		$71.26	$139.27	$411.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $135.30 / $142.19	Professional		$135.30	$135.30	$142.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $107.46 / $107.46	Facility		$107.46	$107.46	$107.46
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	AS	$10.75	$10.75	$10.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $107.56 / $205.44	Professional		$63.94	$107.56	$205.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $83.02 / $125.77	Facility		$61.21	$83.02	$125.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $95.16 / $104.10	Professional		$61.21	$95.16	$104.10
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 $91.43 / $119.78 / $192.64	Professional		$91.43	$119.78	$192.64