Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $1,327.32 / $5,199.75	Facility		$178.87	$1,327.32	$5,199.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $162.66 / $353.88	Professional		$104.79	$162.66	$353.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $36,522.51 / $36,522.51 / $36,522.51	Facility		$36,522.51	$36,522.51	$36,522.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $111.13 / $115.62	Professional		$111.13	$111.13	$115.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $246.44 / $294.70	Professional		$132.80	$246.44	$294.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.07 / $756.00 / $1,574.30	Facility		$338.07	$756.00	$1,574.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $184.66 / $333.84	Professional		$121.48	$184.66	$333.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $227.31 / $233.86	Professional		$227.31	$227.31	$233.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $972.35 / $1,460.82 / $2,452.28	Facility		$972.35	$1,460.82	$2,452.28
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $36,522.51 / $36,522.51 / $46,271.10	Facility		$36,522.51	$36,522.51	$46,271.10
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $111.13 / $115.62	Professional		$111.13	$111.13	$115.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $168.79 / $1,353.49 / $4,761.00	Facility		$168.79	$1,353.49	$4,761.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $181.89 / $357.74	Professional		$105.27	$181.89	$357.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.80 / $254.50 / $450.40	Professional		$199.80	$254.50	$450.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $338.07 / $655.34 / $1,310.85	Facility		$338.07	$655.34	$1,310.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.34 / $185.72 / $333.84	Professional		$127.34	$185.72	$333.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $150.44 / $238.06	Facility		$105.24	$150.44	$238.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $147.40 / $159.66	Professional		$105.24	$147.40	$159.66
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,305.00 / $3,742.00	Facility		$412.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $235.76 / $364.10	Professional		$155.24	$235.76	$364.10