Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $37.79 / $1,359.00	Facility		$33.79	$37.79	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $34.36 / $136.52	Professional		$27.99	$34.36	$136.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $42.38 / $53.63	Professional		$32.51	$42.38	$53.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $30.85 / $32.10	Professional		$26.34	$30.85	$32.10
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 $25.71 / $30.25 / $55.75	Professional		$25.71	$30.25	$55.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $32.35 / $32.35	Facility		$32.35	$32.35	$32.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $40.68 / $65.28	Professional		$28.30	$40.68	$65.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $63.36 / $63.36	Facility		$63.36	$63.36	$63.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $42.51 / $78.89	Professional		$31.93	$42.51	$78.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $45.26 / $400.40	Professional		$38.82	$45.26	$400.40
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $31.99 / $32.10	Professional		$26.34	$31.99	$32.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $168.61 / $1,812.00	Facility		$33.79	$168.61	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $39.79 / $105.01	Professional		$28.00	$39.79	$105.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $56.70 / $74.40	Professional		$41.40	$56.70	$74.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $32.35 / $32.35	Facility		$32.35	$32.35	$32.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $40.68 / $67.92	Professional		$28.30	$40.68	$67.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $29.15 / $29.15	Facility		$29.15	$29.15	$29.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $29.15 / $30.29	Professional		$28.37	$29.15	$30.29
United Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $37.79 / $60.16	Professional		$28.35	$37.79	$60.16