Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.07 / $3,557.71 / $6,459.00	Facility		$746.07	$3,557.71	$6,459.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $629.63 / $1,695.78	Professional		$158.47	$629.63	$1,695.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $64.68 / $64.68	Professional		$64.68	$64.68	$64.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,720.93 / $14,083.41	Facility		$2,716.87	$3,720.93	$14,083.41
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 $625.09 / $1,242.75 / $1,889.48	Professional		$625.09	$1,242.75	$1,889.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $708.36 / $1,669.63	Professional		$198.84	$708.36	$1,669.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.68 / $1,145.52 / $2,825.73	Professional		$1,111.68	$1,145.52	$2,825.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.93 / $3,618.37 / $7,668.95	Facility		$2,003.93	$3,618.37	$7,668.95
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,181.46 / $3,638.44 / $10,338.93	Facility		$2,181.46	$3,638.44	$10,338.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $746.07 / $3,623.00 / $7,463.90	Facility		$746.07	$3,623.00	$7,463.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $528.33 / $2,200.90	Professional		$171.38	$528.33	$2,200.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $904.95 / $1,370.80	Professional		$178.43	$904.95	$1,370.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $711.07 / $1,700.07	Professional		$200.99	$711.07	$1,700.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.60 / $222.88 / $1,053.98	Facility		$174.60	$222.88	$1,053.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $732.84 / $809.21	Professional		$174.60	$732.84	$809.21
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 $804.45 / $1,117.29 / $1,890.36	Professional		$804.45	$1,117.29	$1,890.36