Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $1,123.29 / $7,175.00	Facility		$104.56	$1,123.29	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $150.94 / $502.00	Professional		$82.06	$150.94	$502.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $123.02 / $123.02	Professional		$123.02	$123.02	$123.02
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 $108.54 / $112.64 / $112.64	Professional		$108.54	$112.64	$112.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $117.76 / $237.32	Professional		$71.94	$117.76	$237.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $167.55 / $173.20	Professional		$130.32	$167.55	$173.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.05 / $1,046.00 / $4,005.76	Facility		$445.05	$1,046.00	$4,005.76
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.02 / $123.02 / $123.02	Professional		$123.02	$123.02	$123.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $1,499.00 / $7,175.00	Facility		$129.88	$1,499.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $163.15 / $513.82	Professional		$84.26	$163.15	$513.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $153.90 / $161.60	Professional		$153.90	$153.90	$161.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $124.09 / $124.09	Facility		$124.09	$124.09	$124.09
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $12.41 / $12.41 / $12.41	Facility	AS	$12.41	$12.41	$12.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $121.54 / $238.58	Professional		$73.61	$121.54	$238.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.37 / $103.44 / $152.78	Facility		$72.37	$103.44	$152.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $106.46 / $116.51	Professional		$72.37	$106.46	$116.51
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 $105.09 / $136.86 / $229.15	Professional		$105.09	$136.86	$229.15