Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.56 / $2,266.00 / $6,012.00	Facility		$306.56	$2,266.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $360.38 / $1,523.88	Professional		$236.62	$360.38	$1,523.88
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $32.92 / $87.00 / $216.00	Professional	AS	$32.92	$87.00	$216.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.66 / $393.95 / $428.01	Professional		$282.66	$393.95	$428.01
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $58.21 / $63.03 / $63.03	Professional	AS	$58.21	$63.03	$63.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,594.05 / $26,874.20	Facility		$2,716.87	$3,594.05	$26,874.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $393.39 / $492.08	Professional		$256.55	$393.39	$492.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $292.55	Facility		$292.55	$292.55	$292.55
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $329.86 / $545.25	Professional		$253.79	$329.86	$545.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.29 / $423.38 / $523.87	Professional		$303.29	$423.38	$523.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.34 / $1,660.26 / $3,812.51	Facility		$368.34	$1,660.26	$3,812.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $284.67 / $446.90	Professional		$255.96	$284.67	$446.90
Highmark BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $34.99 / $35.25 / $42.64	Professional	AS	$34.99	$35.25	$42.64
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,282.87 / $3,574.87 / $17,681.82	Facility		$2,282.87	$3,574.87	$17,681.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.41 / $1,901.00 / $7,175.00	Facility		$379.41	$1,901.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $238.75 / $384.28 / $1,426.00	Professional		$238.75	$384.28	$1,426.00
Martin's Point Facility/Professional Professional Modifier AS Low / Median / High Price $32.92 / $71.28 / $205.80	Professional	AS	$32.92	$71.28	$205.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $287.70 / $512.70	Professional		$287.70	$287.70	$512.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $292.55	Facility		$292.55	$292.55	$292.55
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $332.58 / $567.52	Professional		$253.79	$332.58	$567.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $251.27 / $251.27 / $296.77	Facility		$251.27	$251.27	$296.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $256.30 / $296.77	Professional		$239.37	$256.30	$296.77
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 $262.70 / $328.84 / $534.15	Professional		$262.70	$328.84	$534.15