Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $69.18 / $120.37	Facility		$23.22	$69.18	$120.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $21.50 / $128.91	Professional		$15.84	$21.50	$128.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $200.07 / $200.07 / $200.07	Facility		$200.07	$200.07	$200.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $134.72 / $8,459.92	Facility		$101.10	$134.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $30.46 / $66.28	Facility		$19.02	$30.46	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $21.35 / $45.18	Professional		$11.82	$21.35	$45.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $27.07 / $38.10	Professional		$11.93	$27.07	$38.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $47.03 / $103.05	Facility		$33.97	$47.03	$103.05
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $200.07 / $200.07 / $253.48	Facility		$200.07	$200.07	$253.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $59.64 / $125.73	Facility		$17.05	$59.64	$125.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $24.36 / $114.14	Professional		$15.84	$24.36	$114.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $248.16 / $256.41 / $356.67	Facility		$248.16	$256.41	$356.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $30.07 / $89.60	Professional		$22.60	$30.07	$89.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $33.35 / $66.28	Facility		$19.52	$33.35	$66.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $22.57 / $45.18	Professional		$12.58	$22.57	$45.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.45	Professional		$20.05	$20.05	$20.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $35.11	Professional		$8.42	$12.03	$35.11