Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.97 / $271.85	Facility		$72.44	$134.97	$271.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $69.52 / $313.00	Professional		$50.00	$69.52	$313.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Professional		$75.09	$75.09	$75.09
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 $90.04 / $104.88 / $161.03	Professional		$90.04	$104.88	$161.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $113.06	Facility		$65.00	$65.00	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $86.88 / $153.63	Professional		$60.34	$86.88	$153.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $110.00	Professional		$45.00	$60.00	$110.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $234.15 / $369.35	Facility		$100.30	$234.15	$369.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $79.02 / $86.62	Professional		$61.11	$79.02	$86.62
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Professional		$75.09	$75.09	$75.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $136.97 / $320.57	Facility		$69.51	$136.97	$320.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $75.08 / $265.02	Professional		$57.61	$75.08	$265.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $166.37 / $206.44	Facility		$131.00	$166.37	$206.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $94.50 / $150.84	Professional		$64.29	$94.50	$150.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $113.06	Facility		$65.00	$65.00	$113.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $86.88 / $145.93	Professional		$60.89	$86.88	$145.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.46 / $98.31 / $98.31	Facility		$87.46	$98.31	$98.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $98.31 / $103.56	Professional		$87.46	$98.31	$103.56
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $85.34 / $131.66	Professional		$72.20	$85.34	$131.66