Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $8.61 / $30.51	Facility		$7.34	$8.61	$30.51
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $6.76 / $81.13 / $973.68	Facility	CQ	$6.76	$81.13	$973.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.27 / $19.28	Professional		$7.79	$11.27	$19.28
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.39 / $28.14 / $30.10	Professional	CQ	$21.39	$28.14	$30.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.02	Professional		$7.08	$7.08	$9.02
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 $13.37 / $15.73 / $28.22	Professional		$13.37	$15.73	$28.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $65.00 / $75.00	Facility		$32.47	$65.00	$75.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $11.09 / $11.09 / $11.09	Facility	CQ	$11.09	$11.09	$11.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $15.15 / $55.00	Professional		$7.87	$15.15	$55.00
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 $21.48 / $21.52 / $21.88	Facility		$21.48	$21.52	$21.88
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $12.91 / $19.01 / $33.53	Facility	CQ	$12.91	$19.01	$33.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.30	Professional		$10.02	$10.02	$10.30
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.02	Professional		$7.08	$7.08	$9.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $14.80 / $47.71	Facility		$7.79	$14.80	$47.71
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $17.84 / $62.00 / $430.65	Facility	CQ	$17.84	$62.00	$430.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $12.90 / $26.61	Professional		$7.91	$12.90	$26.61
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $21.39 / $21.39 / $30.10	Professional	CQ	$21.39	$21.39	$30.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $17.95 / $30.40	Professional		$8.41	$17.95	$30.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $65.00 / $75.00	Facility		$32.47	$65.00	$75.00
Priority Health Facility/Professional Facility Modifier CQ Low / Median / High Price $11.09 / $11.09 / $11.09	Facility	CQ	$11.09	$11.09	$11.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $15.15 / $58.00	Professional		$7.49	$15.15	$58.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $15.13	Facility		$11.47	$11.47	$15.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.47 / $15.13	Professional		$11.23	$11.47	$15.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.23 / $19.62	Professional		$10.74	$13.23	$19.62