Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.15 / $3.42	Facility		$2.15	$2.15	$3.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.69 / $3.52	Professional		$1.20	$2.69	$3.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $581.04 / $1,319.24 / $2,106.53	Facility		$581.04	$1,319.24	$2,106.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Facility		$6.65	$6.65	$6.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.04 / $5.74	Professional		$3.91	$5.04	$5.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $23.95 / $149.28	Facility		$11.60	$23.95	$149.28
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $589.28 / $1,095.21 / $2,106.53	Facility		$589.28	$1,095.21	$2,106.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.95 / $964.69	Facility		$2.15	$2.95	$964.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.69 / $5.00	Professional		$1.20	$2.69	$5.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.40 / $8.60	Professional		$5.40	$6.40	$8.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Facility		$6.65	$6.65	$6.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.25 / $4.82	Professional		$1.46	$2.25	$4.82