Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,316.00 / $4,428.71 / $11,211.00	Facility		$3,316.00	$4,428.71	$11,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,306.62 / $2,495.77 / $2,616.01	Professional		$2,306.62	$2,495.77	$2,616.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,661.00 / $4,661.00 / $4,661.00	Facility		$4,661.00	$4,661.00	$4,661.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $847.02 / $8,459.92 / $79,506.39	Facility		$847.02	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $958.82 / $995.00 / $1,631.25	Professional		$958.82	$995.00	$1,631.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,170.71 / $2,799.99 / $6,507.00	Facility		$1,170.71	$2,799.99	$6,507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.87 / $2,535.71 / $5,063.93	Professional		$1,514.87	$2,535.71	$5,063.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.59 / $1,382.04 / $1,521.41	Professional		$1,056.59	$1,382.04	$1,521.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,546.96 / $11,966.17 / $23,932.34	Facility		$2,546.96	$11,966.17	$23,932.34
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,661.00 / $4,661.00 / $4,661.00	Facility		$4,661.00	$4,661.00	$4,661.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,316.00 / $7,330.00 / $11,785.55	Facility		$3,316.00	$7,330.00	$11,785.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $993.90 / $2,495.77 / $2,870.13	Professional		$993.90	$2,495.77	$2,870.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.60 / $1,539.17 / $1,666.17	Professional		$1,460.60	$1,539.17	$1,666.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.20 / $2,762.23 / $5,752.97	Facility		$1,135.20	$2,762.23	$5,752.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.87 / $2,535.71 / $5,063.93	Professional		$1,514.87	$2,535.71	$5,063.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $818.47 / $937.53 / $937.53	Facility		$818.47	$937.53	$937.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.47 / $956.28 / $1,071.13	Professional		$818.47	$956.28	$1,071.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,759.44 / $3,332.93 / $4,334.22	Facility		$1,759.44	$3,332.93	$4,334.22
United Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $1,031.28 / $1,715.68	Professional		$92.73	$1,031.28	$1,715.68