Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,422.00 / $7,799.00	Facility		$594.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $80.23 / $308.00	Professional		$66.38	$80.23	$308.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $79.19 / $90.59	Professional		$79.19	$79.19	$90.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $77.97 / $116.67	Professional		$66.27	$77.97	$116.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $99.47 / $164.04	Professional		$74.97	$99.47	$164.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $117.15 / $117.15	Professional		$88.13	$117.15	$117.15
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $79.19 / $90.59	Professional		$79.19	$79.19	$90.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,371.00 / $8,017.00	Facility		$641.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $106.06 / $308.00	Professional		$67.13	$106.06	$308.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $60.40 / $187.70	Professional		$44.50	$60.40	$187.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $103.77 / $175.05	Professional		$77.65	$103.77	$175.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $74.52 / $116.09	Facility		$74.52	$74.52	$116.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $75.45 / $116.09	Professional		$71.70	$75.45	$116.09
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $96.06 / $156.44	Professional		$73.70	$96.06	$156.44