Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $10.34 / $36.40	Facility		$8.84	$10.34	$36.40
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $7.69 / $35.53 / $916.47	Facility	CQ	$7.69	$35.53	$916.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $10.09 / $47.00	Professional		$7.63	$10.09	$47.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.38 / $6.38 / $19.07	Professional	CQ	$6.38	$6.38	$19.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $10.82	Professional		$6.38	$6.38	$10.82
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 $12.57 / $13.01 / $23.63	Professional		$12.57	$13.01	$23.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $65.00 / $75.00	Facility		$21.26	$65.00	$75.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $54.94 / $111.17	Professional		$10.93	$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 $22.94 / $35.03 / $96.10	Facility		$22.94	$35.03	$96.10
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $22.58 / $23.43 / $48.23	Facility	CQ	$22.58	$23.43	$48.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $11.16	Professional		$8.51	$8.51	$11.16
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $10.82	Professional		$6.38	$6.38	$10.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $14.38 / $84.73	Facility		$9.36	$14.38	$84.73
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $9.33 / $115.20 / $916.47	Facility	CQ	$9.33	$115.20	$916.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $11.55 / $40.03	Professional		$8.39	$11.55	$40.03
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $6.38 / $9.85 / $20.65	Professional	CQ	$6.38	$9.85	$20.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $134.55 / $170.89	Facility		$130.22	$134.55	$170.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $20.20 / $27.54	Professional		$10.03	$20.20	$27.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $65.00 / $75.00	Facility		$21.26	$65.00	$75.00
Priority Health Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $60.80 / $112.19	Professional		$11.96	$60.80	$112.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $14.06 / $15.00	Facility		$14.06	$14.06	$15.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.06 / $15.00	Professional		$13.80	$14.06	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.13 / $20.69	Professional		$11.56	$14.13	$20.69