Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.16 / $1,688.00 / $7,175.00	Facility		$194.16	$1,688.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $124.09 / $364.30	Professional		$73.54	$124.09	$364.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.85 / $53.64 / $74.65	Professional	52	$34.85	$53.64	$74.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $131.33 / $225.60	Professional		$123.83	$131.33	$225.60
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 $129.24 / $177.40 / $233.90	Professional		$129.24	$177.40	$233.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $121.92 / $207.95	Professional		$75.81	$121.92	$207.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $201.02 / $207.08	Professional		$156.35	$201.02	$207.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.89 / $514.29 / $790.00	Facility		$291.89	$514.29	$790.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $127.72 / $148.93	Professional		$106.05	$127.72	$148.93
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $131.33 / $225.60	Professional		$123.83	$131.33	$225.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $2,070.00 / $8,017.00	Facility		$480.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $127.55 / $314.55	Professional		$74.86	$127.55	$314.55
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $34.85 / $57.16 / $107.17	Professional	52	$34.85	$57.16	$107.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $104.25 / $182.78	Professional		$78.75	$104.25	$182.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $140.41 / $140.41	Facility		$140.41	$140.41	$140.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $126.09 / $232.68	Professional		$78.75	$126.09	$232.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.41 / $79.56 / $127.95	Facility		$76.41	$79.56	$127.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $115.06 / $137.97	Professional		$77.95	$115.06	$137.97
United Facility/Professional Facility Modifier Low / Median / High Price $265.18 / $583.84 / $3,742.00	Facility		$265.18	$583.84	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $139.93 / $249.32	Professional		$108.87	$139.93	$249.32