Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $46.82 / $1,359.00	Facility		$41.86	$46.82	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $56.17 / $189.23	Professional		$33.83	$56.17	$189.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $50.75 / $65.97	Professional		$31.46	$50.75	$65.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $38.22 / $39.77	Professional		$32.63	$38.22	$39.77
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 $31.63 / $37.21 / $107.42	Professional		$31.63	$37.21	$107.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Facility		$64.06	$64.06	$64.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $69.55 / $113.35	Professional		$35.11	$69.55	$113.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $77.81 / $77.81	Facility		$77.81	$77.81	$77.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $52.07 / $96.48	Professional		$39.35	$52.07	$96.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $78.95 / $695.50	Professional		$60.23	$78.95	$695.50
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $39.64 / $39.77	Professional		$32.63	$39.64	$39.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $200.00 / $1,812.00	Facility		$41.86	$200.00	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $59.86 / $189.23	Professional		$34.54	$59.86	$189.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $205.48 / $205.48 / $205.48	Facility		$205.48	$205.48	$205.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $88.60 / $135.10	Professional		$55.13	$88.60	$135.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $64.06 / $64.06	Facility		$64.06	$64.06	$64.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $69.55 / $114.81	Professional		$35.11	$69.55	$114.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $35.79 / $37.18	Professional		$34.89	$35.79	$37.18
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $50.89 / $87.49	Professional		$34.72	$50.89	$87.49