Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.81 / $464.12 / $2,747.00	Facility		$60.81	$464.12	$2,747.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $593.36 / $1,022.10 / $2,484.71	Facility	50	$593.36	$1,022.10	$2,484.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $56.43 / $148.05	Professional		$34.75	$56.43	$148.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $135.51 / $301.50	Professional	50	$71.09	$135.51	$301.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $59.94 / $81.59	Professional		$40.79	$59.94	$81.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $89.92 / $109.91 / $122.39	Professional	50	$89.92	$109.91	$122.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $60.64 / $105.83	Professional		$34.61	$60.64	$105.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $845.00 / $1,359.00 / $8,459.92	Facility		$845.00	$1,359.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $76.93 / $113.00	Professional		$53.14	$76.93	$113.00
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $79.70 / $115.40 / $169.51	Professional	50	$79.70	$115.40	$169.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $60.85 / $60.85	Facility		$60.85	$60.85	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $55.41 / $91.76	Professional		$36.82	$55.41	$91.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $85.19 / $108.49	Professional		$67.84	$85.19	$108.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.06 / $590.22 / $1,325.15	Facility		$143.06	$590.22	$1,325.15
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $309.36 / $843.32 / $2,045.00	Facility	50	$309.36	$843.32	$2,045.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $64.67 / $83.84	Professional		$46.36	$64.67	$83.84
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.87 / $99.51 / $114.23	Professional	50	$84.87	$99.51	$114.23
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $58.88 / $117.33	Professional		$27.44	$58.88	$117.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $656.31 / $4,211.00	Facility		$50.60	$656.31	$4,211.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $918.90 / $1,086.32 / $2,471.02	Facility	50	$918.90	$1,086.32	$2,471.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $57.49 / $129.33	Professional		$35.00	$57.49	$129.33
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $73.53 / $135.51 / $271.08	Professional	50	$73.53	$135.51	$271.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $75.70 / $96.70	Professional		$47.10	$75.70	$96.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $60.85 / $60.85	Facility		$60.85	$60.85	$60.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $56.40 / $96.63	Professional		$36.82	$56.40	$96.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $38.97 / $53.18	Facility		$34.61	$38.97	$53.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $50.22 / $54.62	Professional		$34.61	$50.22	$54.62
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $62.84 / $97.67	Professional		$47.63	$62.84	$97.67