Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $57.95 / $155.57	Facility		$43.10	$57.95	$155.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $43.10 / $53.09	Professional		$16.80	$43.10	$53.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
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 $53.49 / $62.93 / $88.38	Professional		$53.49	$62.93	$88.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $65.00 / $75.00	Facility		$48.46	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $64.97 / $115.68	Professional		$27.63	$64.97	$115.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $94.00	Professional		$45.00	$60.00	$94.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $50.45 / $50.47	Professional		$46.70	$50.45	$50.47
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.10 / $63.11 / $155.57	Facility		$43.10	$63.11	$155.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $43.50 / $75.00	Professional		$18.64	$43.50	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $63.28 / $126.56	Professional		$56.20	$63.28	$126.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $65.00 / $75.00	Facility		$48.46	$65.00	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $66.00 / $115.68	Professional		$28.92	$66.00	$115.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $61.15 / $61.15	Facility		$27.21	$61.15	$61.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $61.15 / $65.86	Professional		$27.21	$61.15	$65.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $50.77 / $76.23	Professional		$26.03	$50.77	$76.23