Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $345.74 / $718.46	Facility		$76.42	$345.74	$718.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $71.41 / $145.28	Professional		$45.13	$71.41	$145.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $183.83 / $183.83	Professional	50	$183.83	$183.83	$183.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $94.58 / $113.09	Professional		$76.43	$94.58	$113.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $671.03 / $8,393.52 / $16,144.20	Facility		$671.03	$8,393.52	$16,144.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $104.30 / $139.61	Professional		$73.65	$104.30	$139.61
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $110.47 / $156.49 / $209.40	Professional	50	$110.47	$156.49	$209.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $75.67 / $128.58	Professional		$50.48	$75.67	$128.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $118.20 / $152.13	Professional		$88.08	$118.20	$152.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.90 / $375.37 / $647.63	Facility		$237.90	$375.37	$647.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $76.22 / $90.72	Professional		$55.14	$76.22	$90.72
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $7,563.53 / $16,144.20	Facility		$206.88	$7,563.53	$16,144.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $331.32 / $834.35	Facility		$72.52	$331.32	$834.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $75.00 / $137.97	Professional		$47.64	$75.00	$137.97
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $183.83 / $183.83	Professional	50	$183.83	$183.83	$183.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $686.58 / $709.47 / $5,510.73	Facility		$686.58	$709.47	$5,510.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $79.90 / $147.80	Professional		$63.02	$79.90	$147.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $76.40 / $129.55	Professional		$50.75	$76.40	$129.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.64 / $48.03 / $69.53	Facility		$45.64	$48.03	$69.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $61.75 / $74.41	Professional		$46.66	$61.75	$74.41
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 $61.48 / $83.66 / $130.56	Professional		$61.48	$83.66	$130.56