Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $182.05 / $731.28	Facility		$36.40	$182.05	$731.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $38.35 / $245.00	Professional		$33.84	$38.35	$245.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $169.95 / $648.09	Facility		$59.01	$169.95	$648.09
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 $63.60 / $123.30 / $337.20	Facility		$63.60	$123.30	$337.20
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 $40.04 / $176.93 / $597.29	Facility		$40.04	$176.93	$597.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $57.53 / $177.00	Professional		$33.84	$57.53	$177.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $221.23 / $228.59 / $317.99	Facility		$221.23	$228.59	$317.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $64.26 / $85.68	Professional		$48.20	$64.26	$85.68
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 / $60.98	Facility		$42.84	$42.84	$60.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $60.98	Professional		$42.84	$42.84	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $75.05	Professional		$17.98	$25.70	$75.05