Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $182.00 / $358.02	Facility		$36.43	$182.00	$358.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $36.40 / $176.93	Professional		$33.15	$36.40	$176.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $169.95 / $1,422.91	Facility		$59.01	$169.95	$1,422.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $287.83 / $8,459.92	Facility		$216.01	$287.83	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $65.08 / $142.35	Facility		$40.65	$65.08	$142.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $41.23 / $97.02	Professional		$25.06	$41.23	$97.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $57.83 / $81.40	Professional		$25.49	$57.83	$81.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $120.71 / $265.44	Facility		$56.44	$120.71	$265.44
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $160.38 / $366.08	Facility		$53.55	$160.38	$366.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $170.07 / $364.65	Facility		$36.43	$170.07	$364.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $53.55 / $176.93	Professional		$33.15	$53.55	$176.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $366.49 / $378.68 / $526.79	Facility		$366.49	$378.68	$526.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $60.30 / $71.09	Professional		$48.20	$60.30	$71.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $71.28 / $142.35	Facility		$41.56	$71.28	$142.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $45.92 / $97.02	Professional		$26.87	$45.92	$97.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $43.70	Professional		$42.84	$42.84	$43.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $78.40	Professional		$17.98	$25.70	$78.40