Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $18.23 / $41.77	Facility		$12.07	$18.23	$41.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $12.80 / $20.81	Professional		$10.34	$12.80	$20.81
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.45 / $17.45 / $17.45	Professional	CQ	$17.45	$17.45	$17.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
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 $18.30 / $18.93 / $32.93	Professional		$18.30	$18.93	$32.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $65.00 / $75.00	Facility		$29.26	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $27.61 / $111.17	Professional		$12.16	$27.61	$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 $33.63 / $39.04 / $204.41	Facility		$33.63	$39.04	$204.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.02 / $14.56	Professional		$10.93	$14.02	$14.56
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $21.93 / $77.86	Facility		$12.07	$21.93	$77.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $13.76 / $39.25	Professional		$11.08	$13.76	$39.25
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $11.59 / $12.05 / $17.45	Professional	CQ	$11.59	$12.05	$17.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $25.80 / $36.32	Professional		$12.66	$25.80	$36.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $65.00 / $75.00	Facility		$29.26	$65.00	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $31.68 / $114.34	Professional		$12.16	$31.68	$114.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $17.41 / $19.09	Facility		$17.41	$17.41	$19.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.41 / $19.09	Professional		$17.07	$17.41	$19.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $17.98 / $30.96	Professional		$15.11	$17.98	$30.96