Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $260.23 / $505.72	Facility		$52.00	$260.23	$505.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $29.83 / $193.00	Professional		$27.16	$29.83	$193.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $135.28 / $3,858.71	Facility		$48.34	$135.28	$3,858.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $235.88 / $8,459.92	Facility		$177.01	$235.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $27.37	Professional		$27.37	$27.37	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $51.76 / $116.27	Facility		$33.29	$51.76	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $33.71 / $79.23	Professional		$20.60	$33.71	$79.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $47.37 / $66.67	Professional		$20.88	$47.37	$66.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $100.03 / $191.66	Facility		$50.03	$100.03	$191.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $51.83	Professional		$40.00	$40.00	$51.83
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $127.88 / $299.91	Facility		$40.35	$127.88	$299.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $183.87 / $509.15	Facility		$49.13	$183.87	$509.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $40.99 / $144.91	Professional		$27.72	$40.99	$144.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $49.40 / $58.30	Professional		$39.50	$49.40	$58.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $56.69 / $116.27	Facility		$34.00	$56.69	$116.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $37.64 / $79.23	Professional		$22.05	$37.64	$79.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.79	Professional		$35.09	$35.09	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $64.20	Professional		$14.74	$21.05	$64.20