Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.04 / $1,741.00 / $5,750.00	Facility		$84.04	$1,741.00	$5,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $89.22 / $204.57	Professional		$53.71	$89.22	$204.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.54 / $158.54 / $173.37	Professional		$158.54	$158.54	$173.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $99.59 / $113.93	Professional		$99.59	$99.59	$113.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,751.04 / $2,594.00 / $5,296.01	Facility		$1,751.04	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $133.44 / $190.78	Professional		$91.26	$133.44	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $100.78 / $174.11	Professional		$64.11	$100.78	$174.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $149.63 / $151.08	Professional		$112.72	$149.63	$151.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.99 / $2,101.00 / $4,021.47	Facility		$845.99	$2,101.00	$4,021.47
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $99.59 / $113.93	Professional		$99.59	$99.59	$113.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $88.01 / $1,777.00 / $6,432.00	Facility		$88.01	$1,777.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $110.80 / $234.70	Professional		$59.93	$110.80	$234.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $127.00 / $254.50	Professional		$3.00	$127.00	$254.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $102.49 / $175.55	Professional		$65.12	$102.49	$175.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $73.15 / $109.83	Facility		$58.29	$73.15	$109.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $92.08 / $100.65	Professional		$58.29	$92.08	$100.65
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $105.73 / $178.82	Professional		$84.42	$105.73	$178.82