Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $1,234.00 / $5,750.00	Facility		$143.02	$1,234.00	$5,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $143.26 / $348.70	Professional		$67.54	$143.26	$348.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $163.38 / $186.92	Professional		$163.38	$163.38	$186.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $2,838.15 / $6,846.16	Facility		$2,344.69	$2,838.15	$6,846.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $206.42 / $294.70	Professional		$129.35	$206.42	$294.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $145.77 / $272.20	Professional		$79.04	$145.77	$272.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $236.69 / $241.08	Professional		$178.22	$236.69	$241.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,043.16 / $2,936.53 / $4,952.32	Facility		$1,043.16	$2,936.53	$4,952.32
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $163.38 / $186.92	Professional		$163.38	$163.38	$186.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $217.39 / $1,901.00 / $6,432.00	Facility		$217.39	$1,901.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $169.78 / $361.98	Professional		$76.34	$169.78	$361.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $122.90 / $421.00	Professional		$3.00	$122.90	$421.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $148.19 / $272.20	Professional		$81.23	$148.19	$272.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $90.74 / $149.57	Facility		$73.06	$90.74	$149.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $139.60 / $161.15	Professional		$73.06	$139.60	$161.15
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $177.34 / $283.95	Professional		$126.08	$177.34	$283.95