Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $118.25 / $211.00	Facility		$29.83	$118.25	$211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $40.59 / $52.63	Professional		$27.16	$40.59	$52.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $267.16 / $267.16	Facility		$267.16	$267.16	$267.16
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 $65.06 / $98.87 / $162.25	Facility		$65.06	$98.87	$162.25
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $267.16 / $338.47	Facility		$267.16	$267.16	$338.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $121.07 / $252.56	Facility		$35.09	$121.07	$252.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $41.97 / $144.91	Professional		$27.72	$41.97	$144.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $135.50 / $170.47	Facility		$131.13	$135.50	$170.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $51.93 / $70.18	Professional		$39.50	$51.93	$70.18
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 $21.59 / $37.64 / $79.23	Professional		$21.59	$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