Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $557.73 / $1,532.85	Facility		$85.16	$557.73	$1,532.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $86.95 / $156.69	Professional		$69.91	$86.95	$156.69
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $45.19 / $46.89	Professional		$39.86	$45.19	$46.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $101.77 / $280.00	Facility		$20.00	$101.77	$280.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $99.36 / $169.37	Professional		$74.44	$99.36	$169.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.95 / $168.95 / $168.95	Facility		$168.95	$168.95	$168.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $108.61 / $193.88	Professional		$72.41	$108.61	$193.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $938.56 / $1,183.34 / $3,571.51	Facility		$938.56	$1,183.34	$3,571.51
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $557.73 / $567.67 / $1,532.85	Facility		$557.73	$567.67	$1,532.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $99.21 / $828.23	Professional		$70.44	$99.21	$828.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,333.17 / $1,333.17 / $1,333.17	Facility		$1,333.17	$1,333.17	$1,333.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.50 / $86.50	Professional		$79.00	$86.50	$86.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $101.77 / $280.00	Facility		$20.00	$101.77	$280.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $99.13 / $169.12	Professional		$74.44	$99.13	$169.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.87 / $168.87 / $168.87	Facility		$168.87	$168.87	$168.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $35.84	Professional		$20.00	$20.00	$35.84
United Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $85.98 / $145.94	Professional		$68.09	$85.98	$145.94