Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $212.50 / $1,034.72	Facility		$62.30	$212.50	$1,034.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $23.94 / $70.73	Professional		$7.96	$23.94	$70.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $26.06 / $28.19	Professional		$16.62	$26.06	$28.19
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $91.23 / $5,799.99	Facility		$35.14	$91.23	$5,799.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $297.45 / $8,459.92 / $79,506.39	Facility		$297.45	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $9.91 / $9.91	Professional		$9.91	$9.91	$9.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $44.35 / $135.83	Facility		$1.50	$44.35	$135.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $36.76 / $50.69	Professional		$13.67	$36.76	$50.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $22.18 / $50.90	Professional		$14.24	$22.18	$50.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $718.00 / $1,305.00	Facility		$117.48	$718.00	$1,305.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $13.15	Professional		$10.50	$10.50	$13.15
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.17 / $89.47 / $518.16	Facility		$58.17	$89.47	$518.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $228.39 / $1,311.71	Facility		$60.81	$228.39	$1,311.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.47 / $130.40	Professional		$20.89	$31.47	$130.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,903.54 / $1,903.54 / $1,903.54	Facility		$1,903.54	$1,903.54	$1,903.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $44.35 / $135.83	Facility		$1.50	$44.35	$135.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $36.76 / $49.18	Professional		$13.67	$36.76	$49.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $13.95	Facility		$13.95	$13.95	$13.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $13.95 / $14.37	Professional		$13.95	$13.95	$14.37
United Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $25.36 / $51.59	Professional		$11.56	$25.36	$51.59