Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $21.11 / $2,484.51	Facility		$10.80	$21.11	$2,484.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $17.05 / $24.22	Professional		$8.77	$17.05	$24.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.95 / $18.95	Professional		$18.21	$18.95	$18.95
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 $15.54 / $21.26 / $30.12	Professional		$15.54	$21.26	$30.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $9.85 / $25.32	Facility		$5.85	$9.85	$25.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $18.19 / $31.14	Professional		$9.74	$18.19	$31.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $28.64	Professional		$5.00	$5.00	$28.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $78.26 / $302.39	Facility		$78.26	$78.26	$302.39
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.95 / $18.95	Professional		$18.21	$18.95	$18.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $21.11 / $2,484.51	Facility		$10.80	$21.11	$2,484.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $18.27 / $30.74	Professional		$8.78	$18.27	$30.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $18.00 / $38.00	Professional		$8.52	$18.00	$38.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $10.21 / $25.39	Facility		$5.85	$10.21	$25.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $18.28 / $31.14	Professional		$9.94	$18.28	$31.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $16.82 / $24.25	Facility		$8.93	$16.82	$24.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $16.51 / $20.32	Professional		$8.93	$16.51	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $22.17 / $34.03	Professional		$16.97	$22.17	$34.03