Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $256.41 / $1,544.00	Facility		$82.54	$256.41	$1,544.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $72.98 / $175.62	Professional		$24.35	$72.98	$175.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,888.14 / $4,888.14 / $4,888.14	Facility		$4,888.14	$4,888.14	$4,888.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $107.05 / $146.63	Professional		$96.96	$107.05	$146.63
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $96.96 / $115.30 / $158.66	Professional	50	$96.96	$115.30	$158.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $127.89 / $127.89	Facility		$127.89	$127.89	$127.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $60.80 / $130.34	Professional		$22.41	$60.80	$130.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $149.91 / $154.15	Professional		$116.60	$149.91	$154.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $405.01 / $676.50	Facility		$206.80	$405.01	$676.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $100.37 / $100.37	Professional		$77.80	$100.37	$100.37
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,888.14 / $4,888.14 / $6,192.88	Facility		$4,888.14	$4,888.14	$6,192.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $388.88 / $2,422.00	Facility		$85.85	$388.88	$2,422.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $78.92 / $209.16	Professional		$29.35	$78.92	$209.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $57.80 / $69.30	Professional		$57.80	$57.80	$69.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $57.59 / $127.89	Facility		$57.59	$57.59	$127.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $63.43 / $134.47	Professional		$22.41	$63.43	$134.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $50.33 / $96.86	Facility		$34.89	$50.33	$96.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $77.70 / $104.33	Professional		$34.89	$77.70	$104.33
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $91.47 / $126.39	Professional		$53.24	$91.47	$126.39