Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.66 / $2,981.84 / $6,386.60	Facility		$956.66	$2,981.84	$6,386.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,517.50 / $4,570.72 / $7,158.71	Facility	50	$3,517.50	$4,570.72	$7,158.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $416.50 / $1,425.91	Professional		$135.09	$416.50	$1,425.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.26 / $221.26 / $865.10	Professional		$221.26	$221.26	$865.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,594.05 / $10,678.32	Facility		$2,716.87	$3,594.05	$10,678.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $607.64 / $607.64 / $607.64	Professional		$607.64	$607.64	$607.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $410.55 / $814.39 / $1,234.06	Professional		$410.55	$814.39	$1,234.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.76 / $464.20 / $1,102.80	Professional		$171.76	$464.20	$1,102.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.95 / $747.83 / $1,863.54	Professional		$725.95	$747.83	$1,863.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.92 / $3,562.79 / $6,864.58	Facility		$1,220.92	$3,562.79	$6,864.58
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,146.67 / $4,424.00 / $7,740.32	Facility	50	$1,146.67	$4,424.00	$7,740.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.57 / $542.12 / $806.74	Professional		$172.57	$542.12	$806.74
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,171.27 / $3,546.86 / $8,870.81	Facility		$2,171.27	$3,546.86	$8,870.81
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $159.61 / $607.64	Professional		$159.61	$159.61	$607.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $663.02 / $3,224.12 / $6,432.00	Facility		$663.02	$3,224.12	$6,432.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,032.00 / $4,548.00 / $7,158.71	Facility	50	$3,032.00	$4,548.00	$7,158.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $433.54 / $1,438.96	Professional		$142.53	$433.54	$1,438.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,587.10 / $2,677.56 / $5,565.40	Facility		$2,587.10	$2,677.56	$5,565.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $594.10 / $900.90	Professional		$152.59	$594.10	$900.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $483.00 / $1,114.08	Professional		$172.87	$483.00	$1,114.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $190.97 / $699.41	Facility		$149.97	$190.97	$699.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $479.97 / $526.55	Professional		$149.97	$479.97	$526.55
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $737.46 / $1,272.73	Professional		$499.46	$737.46	$1,272.73