Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $203.11 / $1,345.32	Facility		$55.69	$203.11	$1,345.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $49.06 / $308.00	Professional		$40.65	$49.06	$308.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,980.83 / $2,590.63 / $2,698.24	Facility		$1,980.83	$2,590.63	$2,698.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $165.10 / $193.39 / $8,459.92	Facility		$165.10	$193.39	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $193.39 / $193.39	Professional		$193.39	$193.39	$193.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $163.92	Facility		$38.35	$40.65	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $44.10 / $44.10	Professional		$42.19	$44.10	$44.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.70 / $416.12 / $540.64	Facility		$271.70	$416.12	$540.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $50.96 / $71.88	Professional		$50.96	$50.96	$71.88
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,980.83 / $2,590.63 / $2,698.24	Facility		$1,980.83	$2,590.63	$2,698.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $62.42 / $248.79 / $1,476.42	Facility		$62.42	$248.79	$1,476.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $81.84 / $308.00	Professional		$40.65	$81.84	$308.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $66.34 / $103.80	Professional		$40.21	$66.34	$103.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $163.92	Facility		$38.35	$40.65	$163.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $44.10	Professional		$40.65	$40.65	$44.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $45.78 / $53.12	Facility		$45.78	$45.78	$53.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $45.78 / $53.12	Professional		$45.78	$45.78	$53.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $86.08	Professional		$40.65	$40.65	$86.08