Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $10.40 / $30.92	Facility		$9.27	$10.40	$30.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $11.19 / $32.63	Professional		$9.23	$11.19	$32.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $8.67 / $11.03	Professional		$6.50	$8.67	$11.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.58 / $26.68	Professional		$13.24	$15.58	$26.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $26.88 / $75.00	Facility		$18.80	$26.88	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $54.94 / $111.17	Professional		$11.34	$54.94	$111.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $28.90 / $36.68	Facility		$9.39	$28.90	$36.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $12.02 / $12.58	Professional		$8.90	$12.02	$12.58
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $19.04 / $19.04 / $19.04	Professional	CQ	$19.04	$19.04	$19.04
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $8.67 / $11.03	Professional		$6.50	$8.67	$11.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $14.47 / $33.67	Facility		$9.30	$14.47	$33.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.00 / $36.14	Professional		$9.30	$13.00	$36.14
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $16.64 / $16.64 / $16.64	Professional	CQ	$16.64	$16.64	$16.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $94.70 / $178.53	Facility		$91.66	$94.70	$178.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $21.89 / $29.64	Professional		$10.34	$21.89	$29.64
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $26.88 / $75.00	Facility		$18.80	$26.88	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $60.80 / $112.19	Professional		$13.09	$60.80	$112.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $15.13	Facility		$14.15	$14.15	$15.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $14.15 / $15.13	Professional		$13.86	$14.15	$15.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $15.12 / $22.68	Professional		$12.85	$15.12	$22.68