Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $653.77 / $4,888.00	Facility		$64.41	$653.77	$4,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $95.54 / $195.00	Professional		$43.88	$95.54	$195.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $69.79 / $69.79	Professional		$69.79	$69.79	$69.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,845.86 / $3,024.89 / $19,614.11	Facility		$1,845.86	$3,024.89	$19,614.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $93.29 / $93.29	Professional		$93.29	$93.29	$93.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,419.00 / $12,759.45	Facility		$1,084.00	$1,419.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $90.32 / $104.11	Professional		$76.77	$90.32	$104.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $343.00 / $649.00	Facility		$75.00	$343.00	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $108.64 / $197.02	Professional		$48.10	$108.64	$197.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $96.20 / $96.20	Facility		$96.20	$96.20	$96.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $138.91 / $179.13	Professional		$103.91	$138.91	$179.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.85 / $1,239.81 / $3,745.52	Facility		$564.85	$1,239.81	$3,745.52
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $765.70 / $2,952.51 / $7,252.25	Facility		$765.70	$2,952.51	$7,252.25
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $93.29 / $93.29	Professional		$93.29	$93.29	$93.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $862.87 / $5,627.00	Facility		$64.41	$862.87	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $102.93 / $242.30	Professional		$47.30	$102.93	$242.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $231.30 / $231.30 / $1,419.93	Facility		$231.30	$231.30	$1,419.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $229.80 / $243.50	Professional		$3.00	$229.80	$243.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $343.00 / $649.00	Facility		$75.00	$343.00	$649.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $109.25 / $201.62	Professional		$48.10	$109.25	$201.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $84.71 / $185.55	Facility		$42.66	$84.71	$185.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $84.13 / $135.43	Professional		$42.66	$84.13	$135.43
United Facility/Professional Facility Modifier Low / Median / High Price $362.00 / $1,078.00 / $4,430.00	Facility		$362.00	$1,078.00	$4,430.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $111.51 / $183.38	Professional		$79.93	$111.51	$183.38