Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $59.58 / $379.00	Facility		$10.35	$59.58	$379.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $25.57 / $55.13	Professional		$9.16	$25.57	$55.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,537.03 / $2,537.03 / $2,537.03	Facility		$2,537.03	$2,537.03	$2,537.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $41.54 / $62.05	Professional		$26.47	$41.54	$62.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $26.48 / $52.76	Professional		$10.06	$26.48	$52.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $25.73 / $50.08	Professional		$24.00	$25.73	$50.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,537.03 / $2,537.03 / $3,214.21	Facility		$2,537.03	$2,537.03	$3,214.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $42.74 / $840.95	Facility		$2.39	$42.74	$840.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $25.57 / $69.64	Professional		$9.51	$25.57	$69.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10,480.68 / $10,480.68 / $10,480.68	Facility		$10,480.68	$10,480.68	$10,480.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $48.70 / $80.80	Professional		$5.00	$48.70	$80.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $26.48 / $52.16	Professional		$10.18	$26.48	$52.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $23.75 / $29.44	Facility		$9.84	$23.75	$29.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $24.49 / $29.44	Professional		$9.84	$24.49	$29.44
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $34.79 / $60.03	Professional		$25.64	$34.79	$60.03