Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.49 / $1,569.00 / $6,012.00	Facility		$347.49	$1,569.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $355.77 / $946.79	Professional		$213.20	$355.77	$946.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.82 / $361.14 / $520.03	Professional		$279.82	$361.14	$520.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $401.47 / $680.38	Professional		$378.53	$401.47	$680.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $631.27 / $730.62	Professional		$383.47	$631.27	$730.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.67 / $375.99 / $658.28	Professional		$239.67	$375.99	$658.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $462.05 / $594.07 / $612.33	Professional		$462.05	$594.07	$612.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.12 / $1,443.87 / $2,747.96	Facility		$848.12	$1,443.87	$2,747.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $394.51 / $467.58	Professional		$245.42	$394.51	$467.58
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $389.89 / $680.38	Professional		$378.53	$389.89	$680.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $369.77 / $1,749.00 / $7,175.00	Facility		$369.77	$1,749.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $369.62 / $1,098.24	Professional		$223.38	$369.62	$1,098.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $330.70 / $547.94	Professional		$230.13	$330.70	$547.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $412.80 / $412.80	Facility		$412.80	$412.80	$412.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $385.03 / $722.39	Professional		$243.52	$385.03	$722.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $239.64 / $263.87 / $385.39	Facility		$239.64	$263.87	$385.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.38 / $357.04 / $413.92	Professional		$239.38	$357.04	$413.92
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $3,742.00	Facility		$144.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $425.07 / $738.06	Professional		$335.00	$425.07	$738.06