Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.51 / $637.22 / $1,569.00	Facility		$108.51	$637.22	$1,569.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $108.52 / $302.95	Professional		$54.80	$108.52	$302.95
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $671.03 / $15,557.50 / $30,270.38	Facility		$671.03	$15,557.50	$30,270.38
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 $114.60 / $118.92 / $118.92	Professional		$114.60	$118.92	$118.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $116.47 / $225.88	Professional		$57.48	$116.47	$225.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $178.47 / $184.74	Professional		$138.81	$178.47	$184.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $476.88 / $637.57	Facility		$302.33	$476.88	$637.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $114.87 / $114.87	Professional		$114.87	$114.87	$114.87
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $260.51 / $13,479.90 / $29,923.48	Facility		$260.51	$13,479.90	$29,923.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $608.79 / $4,761.00	Facility		$102.71	$608.79	$4,761.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $115.92 / $302.95	Professional		$57.55	$115.92	$302.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $193.20 / $193.20	Professional		$58.52	$193.20	$193.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $99.75 / $99.75	Facility		$99.75	$99.75	$99.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $116.47 / $238.48	Professional		$58.55	$116.47	$238.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $114.46 / $176.83	Facility		$57.55	$114.46	$176.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $114.32 / $122.50	Professional		$57.55	$114.32	$122.50
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 $100.92 / $140.54 / $225.53	Professional		$100.92	$140.54	$225.53