Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.71 / $3,793.24 / $11,138.21	Facility		$555.71	$3,793.24	$11,138.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,116.93 / $9,116.93 / $9,116.93	Facility	50	$9,116.93	$9,116.93	$9,116.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $478.81 / $1,961.00	Professional		$300.18	$478.81	$1,961.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $375.54 / $492.49	Professional		$197.65	$375.54	$492.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,594.05 / $26,076.27	Facility		$2,716.87	$3,594.05	$26,076.27
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 $530.20 / $672.05 / $986.04	Professional		$530.20	$672.05	$986.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.53 / $662.53 / $662.53	Facility		$662.53	$662.53	$662.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.37 / $517.24 / $917.79	Professional		$364.37	$517.24	$917.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.58 / $838.98 / $1,089.18	Professional		$630.58	$838.98	$1,089.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.60 / $5,942.73 / $11,236.37	Facility		$1,845.60	$5,942.73	$11,236.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.06 / $408.17 / $542.24	Professional		$371.06	$408.17	$542.24
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,499.51 / $3,594.05 / $8,570.84	Facility		$2,499.51	$3,594.05	$8,570.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $555.71 / $3,964.00 / $9,854.00	Facility		$555.71	$3,964.00	$9,854.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,930.34 / $9,116.93 / $9,116.93	Facility	50	$3,930.34	$9,116.93	$9,116.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $326.64 / $526.70 / $1,426.00	Professional		$326.64	$526.70	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $532.00 / $1,147.40	Professional		$532.00	$532.00	$1,147.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $662.53 / $662.53 / $662.53	Facility		$662.53	$662.53	$662.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $371.79 / $538.63 / $958.09	Professional		$371.79	$538.63	$958.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $375.19 / $421.88 / $518.10	Facility		$375.19	$421.88	$518.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $374.52 / $492.20 / $553.69	Professional		$374.52	$492.20	$553.69
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 $456.20 / $617.22 / $1,022.73	Professional		$456.20	$617.22	$1,022.73