Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $51.11 / $195.98	Facility		$18.52	$51.11	$195.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $30.25 / $59.28	Professional		$17.30	$30.25	$59.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $132.76 / $132.76	Professional		$28.00	$132.76	$132.76
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 $28.95 / $30.04 / $54.15	Professional		$28.95	$30.04	$54.15
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $43.42 / $45.06 / $81.22	Professional	50	$43.42	$45.06	$81.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $36.97 / $76.09	Professional		$19.22	$36.97	$76.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $44.25 / $58.48	Professional		$33.86	$44.25	$58.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.31 / $270.68 / $340.63	Facility		$243.31	$270.68	$340.63
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $31.93 / $132.76	Professional		$28.00	$31.93	$132.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $134.84 / $506.55	Facility		$30.98	$134.84	$506.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $34.07 / $84.25	Professional		$18.14	$34.07	$84.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $85.80 / $105.80	Professional		$62.20	$85.80	$105.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $36.01 / $77.00	Professional		$19.22	$36.01	$77.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $29.32 / $59.64	Facility		$17.94	$29.32	$59.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $28.81 / $42.71	Professional		$17.94	$28.81	$42.71
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $43.23 / $76.95	Professional		$29.49	$43.23	$76.95