Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.45 / $1,301.00 / $6,012.00	Facility		$253.45	$1,301.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $80.98 / $144.27	Professional		$36.32	$80.98	$144.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $148.83 / $148.83	Professional		$93.69	$148.83	$148.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $88.56 / $97.46	Professional		$85.34	$88.56	$97.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $73.15 / $145.68	Professional		$41.95	$73.15	$145.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $137.82 / $177.38	Professional		$102.70	$137.82	$177.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.61 / $776.00 / $1,447.00	Facility		$309.61	$776.00	$1,447.00
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $148.83 / $148.83	Professional		$93.69	$148.83	$148.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $546.17 / $1,569.00 / $7,197.00	Facility		$546.17	$1,569.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $87.68 / $191.21	Professional		$37.15	$87.68	$191.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $73.50 / $237.30	Professional		$73.50	$73.50	$237.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $78.84 / $146.02	Professional		$42.37	$78.84	$146.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $58.56 / $90.03	Facility		$39.74	$58.56	$90.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $84.00 / $92.17	Professional		$39.74	$84.00	$92.17
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $95.35 / $156.84	Professional		$68.17	$95.35	$156.84