Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.96 / $4,761.00 / $9,803.70	Facility		$735.96	$4,761.00	$9,803.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.16 / $575.47 / $1,238.00	Professional		$376.16	$575.47	$1,238.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.59 / $594.32 / $716.96	Professional		$425.59	$594.32	$716.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,720.93 / $40,572.10	Facility		$2,716.87	$3,720.93	$40,572.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $587.60 / $609.77 / $641.44	Professional		$587.60	$609.77	$641.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.96 / $713.96 / $713.96	Facility		$713.96	$713.96	$713.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $601.16 / $1,022.73	Professional		$404.46	$601.16	$1,022.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $702.38 / $943.90 / $1,213.21	Professional		$702.38	$943.90	$1,213.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,321.84 / $6,045.38 / $13,711.52	Facility		$2,321.84	$6,045.38	$13,711.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.93 / $466.89 / $725.90	Professional		$399.93	$466.89	$725.90
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,499.51 / $3,638.44 / $11,865.00	Facility		$2,499.51	$3,638.44	$11,865.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $632.17 / $4,465.50 / $9,803.70	Facility		$632.17	$4,465.50	$9,803.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $388.20 / $600.70 / $1,194.82	Professional		$388.20	$600.70	$1,194.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $596.73 / $1,261.59	Professional		$377.50	$596.73	$1,261.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $713.96 / $713.96 / $713.96	Facility		$713.96	$713.96	$713.96
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $616.60 / $1,074.40	Professional		$407.74	$616.60	$1,074.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $387.88 / $409.71 / $583.91	Facility		$387.88	$409.71	$583.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $536.05 / $625.47	Professional		$397.69	$536.05	$625.47
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 $513.72 / $701.11 / $1,202.78	Professional		$513.72	$701.11	$1,202.78