Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,343.00 / $6,779.00 / $16,245.86	Facility		$2,343.00	$6,779.00	$16,245.86
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,010.23 / $7,968.37 / $8,775.54	Facility	22	$7,010.23	$7,968.37	$8,775.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.72 / $1,187.54 / $4,584.00	Professional		$962.72	$1,187.54	$4,584.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,282.66 / $1,644.37 / $2,020.48	Professional		$1,282.66	$1,644.37	$2,020.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,556.27 / $6,072.89 / $27,680.91	Facility		$4,556.27	$6,072.89	$27,680.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,070.84 / $1,678.20 / $2,438.41	Professional		$1,070.84	$1,678.20	$2,438.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.14 / $1,211.14 / $1,211.14	Facility		$1,211.14	$1,211.14	$1,211.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.03 / $1,324.18 / $2,155.79	Professional		$1,029.03	$1,324.18	$2,155.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.07 / $1,708.69 / $2,179.94	Professional		$1,262.07	$1,708.69	$2,179.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.46 / $14,207.58 / $29,747.91	Facility		$3,877.46	$14,207.58	$29,747.91
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $13,604.90 / $13,604.90 / $39,911.50	Facility	22	$13,604.90	$13,604.90	$39,911.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.05 / $1,397.44 / $1,736.26	Professional		$1,230.05	$1,397.44	$1,736.26
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,328.31 / $6,327.93 / $15,496.27	Facility		$4,328.31	$6,327.93	$15,496.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,395.94 / $7,092.64 / $16,525.40	Facility		$1,395.94	$7,092.64	$16,525.40
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $7,010.23 / $7,010.23 / $8,775.54	Facility	22	$7,010.23	$7,010.23	$8,775.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $962.72 / $1,392.97 / $4,146.00	Professional		$962.72	$1,392.97	$4,146.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.50 / $1,410.94 / $2,204.90	Professional		$1,203.50	$1,410.94	$2,204.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.14 / $1,211.14 / $1,211.14	Facility		$1,211.14	$1,211.14	$1,211.14
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.14 / $1,353.68 / $2,242.09	Professional		$1,033.14	$1,353.68	$2,242.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $914.96 / $1,045.96 / $1,178.68	Facility		$914.96	$1,045.96	$1,178.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,012.58 / $1,052.40 / $1,106.45	Professional		$1,012.58	$1,052.40	$1,106.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.79 / $1,299.80 / $2,138.57	Professional		$1,001.79	$1,299.80	$2,138.57