Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.96 / $4,809.68 / $9,908.89	Facility		$956.96	$4,809.68	$9,908.89
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,882.28 / $3,882.28 / $3,882.28	Facility	22	$3,882.28	$3,882.28	$3,882.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $735.40 / $2,498.94	Professional		$525.09	$735.40	$2,498.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,343.84 / $4,423.43 / $42,382.67	Facility		$3,343.84	$4,423.43	$42,382.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $659.84 / $684.74 / $684.74	Professional		$659.84	$684.74	$684.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.29 / $800.87 / $1,285.98	Professional		$534.29	$800.87	$1,285.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $793.29 / $1,052.48 / $1,068.74	Professional		$793.29	$1,052.48	$1,068.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,780.33 / $6,213.28 / $11,919.43	Facility		$2,780.33	$6,213.28	$11,919.43
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,058.24 / $4,365.35 / $26,964.59	Facility		$3,058.24	$4,365.35	$26,964.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $939.95 / $5,052.00 / $9,690.09	Facility		$939.95	$5,052.00	$9,690.09
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $3,882.28 / $3,882.28 / $3,882.28	Facility	22	$3,882.28	$3,882.28	$3,882.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $574.99 / $900.00 / $2,184.13	Professional		$574.99	$900.00	$2,184.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $567.79 / $1,795.60	Professional		$5.00	$567.79	$1,795.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $602.89 / $809.23 / $1,376.99	Professional		$602.89	$809.23	$1,376.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $605.75 / $661.88 / $661.88	Facility		$605.75	$661.88	$661.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $605.75 / $661.88 / $708.08	Professional		$605.75	$661.88	$708.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,824.00 / $4,815.00	Facility		$1,175.00	$2,824.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.09 / $774.90 / $1,354.17	Professional		$512.09	$774.90	$1,354.17