Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $379.00 / $2,747.00	Facility		$81.30	$379.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $79.36 / $251.00	Professional		$32.59	$79.36	$251.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $83.78 / $83.78	Professional		$83.78	$83.78	$83.78
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 $72.31 / $81.98 / $85.07	Professional		$72.31	$81.98	$85.07
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $81.98 / $137.94 / $144.24	Professional	50	$81.98	$137.94	$144.24
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 $34.27 / $70.06 / $135.33	Professional		$34.27	$70.06	$135.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $128.61 / $132.72	Professional		$100.03	$128.61	$132.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.55 / $439.05 / $764.65	Facility		$250.55	$439.05	$764.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $319.14 / $319.14	Professional		$319.14	$319.14	$319.14
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $83.78 / $83.78	Professional		$83.78	$83.78	$83.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $594.00 / $4,211.00	Facility		$81.30	$594.00	$4,211.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $86.31 / $268.35	Professional		$34.78	$86.31	$268.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $315.87 / $315.87 / $315.87	Facility		$315.87	$315.87	$315.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $51.70 / $126.71	Professional		$36.84	$51.70	$126.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $62.80 / $259.00	Facility		$62.80	$62.80	$259.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $73.38 / $142.50	Professional		$35.10	$73.38	$142.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $42.59 / $84.21	Facility		$36.15	$42.59	$84.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $66.59 / $91.25	Professional		$36.15	$66.59	$91.25
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 $69.14 / $87.20 / $148.44	Professional		$69.14	$87.20	$148.44