Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $71.66 / $176.56	Facility		$45.50	$71.66	$176.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $47.09 / $116.78	Professional		$33.56	$47.09	$116.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $40.63 / $40.63	Professional		$40.63	$40.63	$40.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $51.59 / $51.59	Professional		$51.59	$51.59	$51.59
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 $61.69 / $70.01 / $111.24	Professional		$61.69	$70.01	$111.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $77.98	Facility		$65.00	$65.00	$77.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $54.08 / $106.25	Professional		$35.50	$54.08	$106.25
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 $130.66 / $169.36 / $280.88	Facility		$130.66	$169.36	$280.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $59.78 / $59.80	Professional		$53.49	$59.78	$59.80
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $64.93 / $70.37	Facility		$64.93	$64.93	$70.37
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $51.59 / $51.59	Professional		$51.59	$51.59	$51.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $75.06 / $176.56	Facility		$47.09	$75.06	$176.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $51.66 / $120.12	Professional		$39.53	$51.66	$120.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $62.79 / $104.15	Professional		$41.60	$62.79	$104.15
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $77.98	Facility		$65.00	$65.00	$77.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $53.90 / $101.30	Professional		$35.50	$53.90	$101.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $67.91 / $67.91	Facility		$59.29	$67.91	$67.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $67.91 / $71.86	Professional		$59.29	$67.91	$71.86
United Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $58.46 / $91.44	Professional		$49.47	$58.46	$91.44