Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $404.40 / $2,747.00	Facility		$68.56	$404.40	$2,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.67 / $320.06 / $320.06	Facility	52	$13.67	$320.06	$320.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $66.23 / $159.90	Professional		$24.53	$66.23	$159.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.39 / $27.47 / $43.29	Professional	52	$11.39	$27.47	$43.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $111.25 / $111.25	Professional		$111.25	$111.25	$111.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $671.03 / $7,040.61 / $13,698.98	Facility		$671.03	$7,040.61	$13,698.98
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 $52.97 / $75.87 / $126.09	Professional		$52.97	$75.87	$126.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $65.01 / $126.56	Professional		$29.58	$65.01	$126.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $95.84 / $98.83	Professional		$72.38	$95.84	$98.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.01 / $329.98 / $670.26	Facility		$137.01	$329.98	$670.26
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $168.99 / $6,100.38 / $13,541.99	Facility		$168.99	$6,100.38	$13,541.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $532.95 / $4,761.00	Facility		$57.68	$532.95	$4,761.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $13.67 / $320.06 / $608.00	Facility	52	$13.67	$320.06	$608.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $67.08 / $163.61	Professional		$25.95	$67.08	$163.61
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $11.53 / $27.47 / $55.26	Professional	52	$11.53	$27.47	$55.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $30.00 / $165.60	Professional		$3.00	$30.00	$165.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $67.98 / $127.51	Professional		$29.62	$67.98	$127.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $59.26 / $93.08	Facility		$24.48	$59.26	$93.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $58.29 / $63.75	Professional		$24.48	$58.29	$63.75
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $87.91 / $128.72	Professional		$60.03	$87.91	$128.72