Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $139.97 / $739.38	Facility		$43.29	$139.97	$739.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $34.97 / $105.00	Professional		$14.88	$34.97	$105.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.80 / $39.00 / $43.31	Professional	25	$17.80	$39.00	$43.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $434.57 / $1,824.18 / $3,265.60	Facility		$434.57	$1,824.18	$3,265.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $22.76 / $23.68	Professional		$22.76	$22.76	$23.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $8,459.92 / $79,506.39	Facility		$63.32	$8,459.92	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $36.10 / $36.10	Professional		$14.88	$36.10	$36.10
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $13.11 / $15.42 / $36.10	Professional	50	$13.11	$15.42	$36.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $132.15 / $170.40	Facility		$31.53	$132.15	$170.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $22.50 / $36.15	Professional		$13.27	$22.50	$36.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $144.43 / $246.45	Facility		$71.59	$144.43	$246.45
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $183.60 / $1,527.30 / $3,265.60	Facility		$183.60	$1,527.30	$3,265.60
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $22.76 / $89.36	Professional		$14.53	$22.76	$89.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $158.31 / $842.29	Facility		$45.00	$158.31	$842.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $33.68 / $99.90	Professional		$14.36	$33.68	$99.90
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $17.80 / $31.31 / $43.31	Professional	25	$17.80	$31.31	$43.31
Optum Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $22.97 / $25.26	Professional		$21.99	$22.97	$25.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $22.97 / $25.26	Professional		$21.99	$22.97	$25.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $72.33 / $141.88	Facility		$31.53	$72.33	$141.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $29.79 / $40.84	Professional		$13.27	$29.79	$40.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $13.66 / $23.42	Facility		$13.66	$13.66	$23.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $24.84 / $24.84	Professional		$13.66	$24.84	$24.84
United Facility/Professional Facility Modifier Low / Median / High Price $98.18 / $185.98 / $241.85	Facility		$98.18	$185.98	$241.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $19.48 / $28.70	Professional		$13.92	$19.48	$28.70