Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $178.87 / $3,839.00	Facility		$33.97	$178.87	$3,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $28.35 / $91.80	Professional		$4.36	$28.35	$91.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.90 / $2.90 / $4.50	Professional	52	$0.90	$2.90	$4.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $6.01 / $9.91	Professional		$3.78	$6.01	$9.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.40 / $10.57	Professional		$5.13	$6.40	$10.57
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 $6.46 / $9.27 / $23.24	Professional		$6.46	$9.27	$23.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.00 / $259.00 / $259.00	Facility		$259.00	$259.00	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $5.96 / $12.54	Professional		$1.96	$5.96	$12.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $10.00 / $10.28	Professional		$7.78	$10.00	$10.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $25.61 / $26.14	Facility		$9.80	$25.61	$26.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $6.93 / $11.63	Professional		$2.56	$6.93	$11.63
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.75 / $10.57	Professional		$5.13	$6.75	$10.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $1,013.00 / $6,432.00	Facility		$32.04	$1,013.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $17.34 / $92.00	Professional		$3.22	$17.34	$92.00
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $0.90 / $2.79 / $4.76	Professional	52	$0.90	$2.79	$4.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $8.78 / $16.60	Professional		$1.89	$8.78	$16.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $259.00	Facility		$3.42	$3.42	$259.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $6.09 / $12.75	Professional		$1.99	$6.09	$12.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $6.41 / $14.13	Facility		$1.99	$6.41	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $6.30 / $8.24	Professional		$1.97	$6.30	$8.24
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 $5.34 / $7.30 / $11.53	Professional		$5.34	$7.30	$11.53