Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $189.55 / $415.04	Facility		$123.75	$189.55	$415.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $42.59 / $97.38	Professional		$33.10	$42.59	$97.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $20,262.73 / $20,262.73 / $20,262.73	Facility		$20,262.73	$20,262.73	$20,262.73
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 $16.17 / $18.32 / $31.05	Professional		$16.17	$18.32	$31.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $61.70 / $61.70	Facility		$61.70	$61.70	$61.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $60.44 / $128.68	Professional		$21.31	$60.44	$128.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $23.51 / $23.51	Professional		$23.51	$23.51	$23.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $366.01 / $476.08	Facility		$116.96	$366.01	$476.08
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,262.73 / $20,262.73 / $25,671.25	Facility		$20,262.73	$20,262.73	$25,671.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $238.80 / $601.49	Facility		$89.61	$238.80	$601.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $74.79 / $132.00	Professional		$33.10	$74.79	$132.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $61.70 / $95.45	Facility		$61.70	$61.70	$95.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $63.29 / $129.53	Professional		$21.31	$63.29	$129.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $19.69 / $19.69	Facility		$19.69	$19.69	$19.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $19.69	Professional		$19.69	$19.69	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $76.02 / $101.59	Professional		$31.83	$76.02	$101.59