Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $181.84 / $723.80	Facility		$25.92	$181.84	$723.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $140.44 / $600.00	Professional		$3.05	$140.44	$600.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $1,164.88 / $2,494.07	Facility		$3.14	$1,164.88	$2,494.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $3.27 / $8,639.91	Facility		$2.78	$3.27	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.02 / $3.02	Facility		$2.85	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $186.32 / $405.40	Facility		$10.69	$186.32	$405.40
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $1,475.81 / $2,494.07	Facility		$3.14	$1,475.81	$2,494.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $257.76 / $922.70	Facility		$8.15	$257.76	$922.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $65.69 / $600.00	Professional		$3.02	$65.69	$600.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,837.17 / $2,984.73 / $4,032.17	Facility		$2,837.17	$2,984.73	$4,032.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.02 / $3.02	Facility		$2.85	$3.02	$3.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.15 / $61.15 / $70.95	Facility		$61.15	$61.15	$70.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $61.15 / $70.95	Professional		$61.15	$61.15	$70.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.53	Professional		$3.02	$3.02	$5.53