Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.78 / $1,660.74 / $5,378.09	Facility		$222.78	$1,660.74	$5,378.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $208.47 / $558.87	Professional		$86.36	$208.47	$558.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $141.49 / $141.49	Professional		$141.49	$141.49	$141.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,858.69 / $3,024.89 / $11,656.97	Facility		$1,858.69	$3,024.89	$11,656.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $373.66 / $446.50	Professional		$205.43	$373.66	$446.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $230.93 / $462.08	Professional		$108.42	$230.93	$462.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.91 / $370.31 / $382.89	Professional		$279.91	$370.31	$382.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.76 / $3,245.84 / $5,607.79	Facility		$923.76	$3,245.84	$5,607.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,732.43 / $2,952.51 / $7,416.37	Facility		$1,732.43	$2,952.51	$7,416.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $2,156.46 / $5,474.00	Facility		$222.79	$2,156.46	$5,474.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $217.65 / $661.68	Professional		$90.85	$217.65	$661.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $268.89 / $858.70	Professional		$3.00	$268.89	$858.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $243.22 / $482.66	Professional		$110.00	$243.22	$482.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $113.56 / $256.19	Facility		$96.38	$113.56	$256.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $230.11 / $251.55	Professional		$96.38	$230.11	$251.55
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 $211.81 / $285.62 / $508.38	Professional		$211.81	$285.62	$508.38