Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,888.17 / $7,383.26	Facility		$428.00	$1,888.17	$7,383.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $196.80 / $519.35	Professional		$159.02	$196.80	$519.35
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $691.16 / $11,620.75	Facility		$522.48	$691.16	$11,620.75
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 $172.25 / $178.75 / $178.75	Professional		$172.25	$178.75	$178.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $263.93 / $398.39	Professional		$188.02	$263.93	$398.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $268.17 / $268.17	Professional		$201.99	$268.17	$268.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.92 / $907.08 / $4,277.14	Facility		$495.92	$907.08	$4,277.14
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $439.01 / $682.09 / $7,645.85	Facility		$439.01	$682.09	$7,645.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $435.25 / $1,819.00 / $7,383.26	Facility		$435.25	$1,819.00	$7,383.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $255.65 / $647.00	Professional		$164.97	$255.65	$647.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $252.00 / $428.70	Professional		$222.60	$252.00	$428.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $260.83 / $432.14	Professional		$188.02	$260.83	$432.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.31 / $169.31 / $244.51	Facility		$169.31	$169.31	$244.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $170.69 / $244.51	Professional		$163.63	$170.69	$244.51
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $262.57 / $367.95	Professional		$177.03	$262.57	$367.95