Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $1,359.00	Facility		$44.00	$44.00	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $49.42 / $138.00	Professional		$27.92	$49.42	$138.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $63.92 / $75.31	Professional		$57.93	$63.92	$75.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $44.23 / $45.55	Professional		$40.47	$44.23	$45.55
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 $39.92 / $56.35 / $75.70	Professional		$39.92	$56.35	$75.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Facility		$46.60	$46.60	$46.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $45.64 / $69.64	Professional		$32.01	$45.64	$69.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $57.47 / $107.43	Professional		$39.29	$57.47	$107.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $61.46 / $78.50	Professional		$43.07	$61.46	$78.50
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $45.55 / $84.99	Professional		$39.95	$45.55	$84.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $59.93 / $1,812.00	Facility		$44.00	$59.93	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $55.44 / $135.00	Professional		$30.56	$55.44	$135.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $67.62 / $84.80	Professional		$51.58	$67.62	$84.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Facility		$46.60	$46.60	$46.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $45.40 / $69.64	Professional		$32.38	$45.40	$69.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $42.94	Facility		$40.11	$40.11	$42.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $40.21 / $42.94	Professional		$39.00	$40.21	$42.94
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $46.42 / $68.92	Professional		$34.36	$46.42	$68.92