Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $64.80 / $120.37	Facility		$23.22	$64.80	$120.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $23.19 / $128.91	Professional		$15.84	$23.19	$128.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $77.26 / $284.27	Facility		$27.61	$77.26	$284.27
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 $29.76 / $49.59 / $108.85	Facility		$29.76	$49.59	$108.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $73.04 / $171.29	Facility		$23.06	$73.04	$171.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $59.64 / $134.40	Facility		$17.05	$59.64	$134.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $25.06 / $114.14	Professional		$16.04	$25.06	$114.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $442.59 / $457.31 / $636.14	Facility		$442.59	$457.31	$636.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $30.07 / $40.10	Professional		$20.05	$30.07	$40.10
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 / $21.38 / $45.18	Professional		$12.58	$21.38	$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 / $31.36	Professional		$8.42	$12.03	$31.36