Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $27.09 / $109.90	Facility		$7.00	$27.09	$109.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $32.85 / $52.00	Professional		$10.00	$32.85	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $37.97 / $37.97	Professional		$37.97	$37.97	$37.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $239.55 / $326.31	Facility		$49.33	$239.55	$326.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $32.70 / $32.70	Professional		$32.70	$32.70	$32.70
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 $27.63 / $32.50 / $36.00	Professional		$27.63	$32.50	$36.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $99.20 / $189.34	Facility		$20.00	$99.20	$189.34
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $60.49 / $313.30	Facility		$45.82	$60.49	$313.30
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $32.70 / $32.70	Professional		$32.70	$32.70	$32.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $30.65 / $153.75	Facility		$8.00	$30.65	$153.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $32.50 / $50.00	Professional		$10.10	$32.50	$50.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $207.77 / $247.37 / $318.02	Facility		$207.77	$247.37	$318.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $28.87 / $30.05	Facility		$16.72	$28.87	$30.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $30.05 / $30.05	Professional		$20.86	$30.05	$30.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $19.87 / $39.45	Professional		$13.92	$19.87	$39.45