Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $174.08 / $384.56	Facility		$59.00	$174.08	$384.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $174.08 / $406.38 / $562.40	Facility	50	$174.08	$406.38	$562.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $48.96 / $97.59	Professional		$26.27	$48.96	$97.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $106.18 / $355.50	Professional	50	$77.36	$106.18	$355.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $59.19 / $73.98	Professional		$59.19	$59.19	$73.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $594.77 / $594.77 / $594.77	Facility		$594.77	$594.77	$594.77
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 $61.45 / $84.10 / $107.05	Professional		$61.45	$84.10	$107.05
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $92.17 / $126.14 / $160.55	Professional	50	$92.17	$126.14	$160.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $488.00	Facility		$44.88	$44.88	$488.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $56.09 / $109.73	Professional		$28.67	$56.09	$109.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $97.95 / $127.03	Professional		$73.55	$97.95	$127.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $355.78 / $449.25	Facility		$118.68	$355.78	$449.25
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $276.39 / $454.00 / $791.96	Facility	50	$276.39	$454.00	$791.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $60.64 / $68.08	Professional		$26.06	$60.64	$68.08
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.96 / $95.61 / $96.23	Professional	50	$36.96	$95.61	$96.23
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $594.77 / $594.77 / $753.53	Facility		$594.77	$594.77	$753.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $266.06 / $489.17	Facility		$59.00	$266.06	$489.17
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $175.41 / $461.25 / $604.26	Facility	50	$175.41	$461.25	$604.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $53.26 / $107.96	Professional		$27.10	$53.26	$107.96
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $106.18 / $355.50	Professional	50	$77.36	$106.18	$355.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $65.80 / $115.94	Professional		$32.58	$65.80	$115.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $488.00	Facility		$44.88	$44.88	$488.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $57.97 / $113.30	Professional		$28.91	$57.97	$113.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $46.11 / $60.94	Facility		$25.85	$46.11	$60.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $48.21 / $65.47	Professional		$25.85	$48.21	$65.47
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 $50.14 / $71.52 / $116.46	Professional		$50.14	$71.52	$116.46