Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $136.86 / $271.17	Facility		$59.97	$136.86	$271.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $49.03 / $70.31	Professional		$16.57	$49.03	$70.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $123.09 / $532.35	Facility		$53.36	$123.09	$532.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $8,639.91 / $79,506.39	Facility		$8,459.92	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $77.45 / $99.73	Professional		$68.17	$77.45	$99.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $67.13 / $114.41	Professional		$20.22	$67.13	$114.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $118.52 / $155.22	Professional		$90.76	$118.52	$155.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $174.00 / $258.20	Facility		$127.60	$174.00	$258.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $114.80 / $114.80	Professional		$31.92	$114.80	$114.80
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $40.81 / $123.09 / $532.35	Facility		$40.81	$123.09	$532.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $136.02 / $382.41	Facility		$25.05	$136.02	$382.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $49.03 / $92.50	Professional		$17.16	$49.03	$92.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $173.20 / $173.20	Professional		$136.50	$173.20	$173.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $67.13 / $118.71	Professional		$20.07	$67.13	$118.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $55.48 / $69.01	Facility		$16.59	$55.48	$69.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $54.74 / $60.01	Professional		$16.59	$54.74	$60.01
United Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $73.06 / $129.00	Professional		$58.25	$73.06	$129.00