Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $217.40 / $559.35	Facility		$98.50	$217.40	$559.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $24.59 / $94.71	Professional		$5.38	$24.59	$94.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $75.52 / $75.52	Professional		$17.82	$75.52	$75.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $96.60 / $739.04	Facility		$38.40	$96.60	$739.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $24.96 / $25.97	Professional		$24.96	$24.96	$25.97
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 $33.43 / $33.43 / $33.43	Professional		$33.43	$33.43	$33.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $48.77 / $131.47	Facility		$21.42	$48.77	$131.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $45.91 / $61.50	Professional		$18.67	$45.91	$61.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $28.50 / $69.88	Professional		$15.81	$28.50	$69.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.26 / $156.76 / $431.36	Facility		$80.26	$156.76	$431.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.08 / $59.16	Professional		$36.00	$45.08	$59.16
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $92.04 / $470.19	Facility		$38.40	$92.04	$470.19
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $24.96 / $25.97	Professional		$24.96	$24.96	$25.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $211.90 / $525.35	Facility		$45.05	$211.90	$525.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $25.57 / $112.59	Professional		$18.00	$25.57	$112.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $114.07 / $230.38	Facility		$96.75	$114.07	$230.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $50.90 / $131.47	Facility		$21.83	$50.90	$131.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $45.91 / $58.85	Professional		$18.64	$45.91	$58.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $35.83 / $35.83	Professional		$35.83	$35.83	$35.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $26.58 / $66.39	Professional		$15.69	$26.58	$66.39