Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $1,426.00 / $5,411.00	Facility		$101.50	$1,426.00	$5,411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $92.29 / $259.87	Professional		$45.77	$92.29	$259.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $162.49 / $199.66	Professional		$44.31	$162.49	$199.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $691.16 / $19,021.68	Facility		$522.48	$691.16	$19,021.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $86.75	Professional		$75.83	$75.83	$86.75
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 $105.82 / $114.00 / $169.10	Professional		$105.82	$114.00	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $97.80 / $173.57	Professional		$54.17	$97.80	$173.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $167.95 / $172.88	Professional		$126.90	$167.95	$172.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.22 / $1,783.47 / $4,522.50	Facility		$391.22	$1,783.47	$4,522.50
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $419.51 / $682.09 / $12,101.92	Facility		$419.51	$682.09	$12,101.92
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $96.58	Professional		$75.83	$75.83	$96.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $1,519.00 / $5,526.00	Facility		$89.76	$1,519.00	$5,526.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $97.65 / $217.46	Professional		$46.53	$97.65	$217.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,037.66 / $8,037.66 / $8,037.66	Facility		$8,037.66	$8,037.66	$8,037.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $72.30 / $299.30	Professional		$3.00	$72.30	$299.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $99.82 / $173.57	Professional		$55.81	$99.82	$173.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $80.13 / $80.13	Facility		$57.61	$80.13	$80.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $80.13 / $80.13	Professional		$57.61	$80.13	$80.13
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $107.82 / $180.72	Professional		$82.15	$107.82	$180.72