Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $20.12 / $369.00	Facility		$16.05	$20.12	$369.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $8.02 / $8.02 / $50.99	Facility	52	$8.02	$8.02	$50.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $18.39 / $61.00	Professional		$13.30	$18.39	$61.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $20.39 / $25.94	Professional		$13.30	$20.39	$25.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $18.21 / $18.85	Professional		$16.72	$18.21	$18.85
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 $14.90 / $17.11 / $34.65	Professional		$14.90	$17.11	$34.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $14.63 / $756.00	Facility		$14.63	$14.63	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $18.53 / $30.58	Professional		$13.38	$18.53	$30.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $30.45 / $30.45	Facility		$30.45	$30.45	$30.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.98 / $28.90	Professional		$15.77	$15.98	$28.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.35 / $103.20 / $158.00	Facility		$88.35	$103.20	$158.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $19.75 / $126.10	Professional		$16.04	$19.75	$126.10
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $18.21 / $18.85	Professional		$16.72	$18.21	$18.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $101.98 / $369.00	Facility		$18.10	$101.98	$369.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $8.02 / $10.06 / $50.99	Facility	52	$8.02	$10.06	$50.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $20.58 / $48.50	Professional		$13.41	$20.58	$48.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $27.00 / $35.50	Professional		$20.05	$27.00	$35.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $14.63 / $756.00	Facility		$14.63	$14.63	$756.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $18.57 / $31.52	Professional		$13.38	$18.57	$31.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $13.63 / $13.63	Facility		$13.63	$13.63	$13.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.63 / $14.10	Professional		$13.31	$13.63	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $18.36 / $27.82	Professional		$13.40	$18.36	$27.82