Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.77 / $6,019.64 / $11,077.50	Facility		$1,424.77	$6,019.64	$11,077.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,742.50 / $7,697.00 / $8,986.00	Facility	50	$3,742.50	$7,697.00	$8,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $645.36 / $1,792.61	Professional		$525.09	$645.36	$1,792.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $623.76 / $998.02 / $1,216.33	Professional		$623.76	$998.02	$1,216.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,343.84 / $4,579.60 / $51,424.09	Facility		$3,343.84	$4,579.60	$51,424.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $955.08 / $1,261.31	Professional		$583.22	$955.08	$1,261.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.17 / $799.99 / $1,402.74	Professional		$458.17	$799.99	$1,402.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $799.46 / $1,069.92 / $1,069.92	Professional		$799.46	$1,069.92	$1,069.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.14 / $8,574.81 / $14,857.50	Facility		$3,490.14	$8,574.81	$14,857.50
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,885.40 / $15,741.73 / $55,771.07	Facility	50	$3,885.40	$15,741.73	$55,771.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.28 / $788.45 / $1,077.75	Professional		$690.28	$788.45	$1,077.75
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,076.32 / $4,478.08 / $16,052.78	Facility		$3,076.32	$4,478.08	$16,052.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $5,366.19 / $11,077.50	Facility		$1,224.00	$5,366.19	$11,077.50
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,494.00 / $5,622.00 / $8,986.00	Facility	50	$3,494.00	$5,622.00	$8,986.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $551.48 / $832.21 / $1,817.40	Professional		$551.48	$832.21	$1,817.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $490.90 / $923.16 / $1,364.24	Professional		$490.90	$923.16	$1,364.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $452.43 / $818.55 / $1,402.74	Professional		$452.43	$818.55	$1,402.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $646.42 / $646.42 / $647.87	Facility		$646.42	$646.42	$647.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $621.48 / $647.87 / $682.82	Professional		$621.48	$647.87	$682.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.88 / $739.71 / $1,321.97	Professional		$476.88	$739.71	$1,321.97