Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.25 / $4,264.00 / $10,229.00	Facility		$437.25	$4,264.00	$10,229.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $583.84 / $3,141.93 / $11,220.00	Facility	50	$583.84	$3,141.93	$11,220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $311.91 / $684.95	Professional		$254.00	$311.91	$684.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.06 / $430.24 / $1,972.50	Professional	50	$175.06	$430.24	$1,972.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,851.72 / $8,014.30 / $24,277.79	Facility		$5,851.72	$8,014.30	$24,277.79
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 $232.62 / $383.38 / $615.88	Professional		$232.62	$383.38	$615.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $348.93 / $575.05 / $923.79	Professional	50	$348.93	$575.05	$923.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.04 / $394.72 / $613.72	Professional		$270.04	$394.72	$613.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $409.96 / $409.96	Professional		$309.14	$409.96	$409.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,761.97 / $13,440.70 / $28,406.22	Facility		$1,761.97	$13,440.70	$28,406.22
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $17,046.83 / $17,046.83 / $17,046.83	Facility	22	$17,046.83	$17,046.83	$17,046.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $553.15 / $2,985.74 / $19,077.70	Facility	50	$553.15	$2,985.74	$19,077.70
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,383.56 / $7,836.64 / $24,277.79	Facility		$5,383.56	$7,836.64	$24,277.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $488.77 / $3,839.00 / $10,638.00	Facility		$488.77	$3,839.00	$10,638.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $583.84 / $2,348.26 / $13,884.00	Facility	50	$583.84	$2,348.26	$13,884.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $256.85 / $371.86 / $836.92	Professional		$256.85	$371.86	$836.92
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $175.06 / $427.22 / $1,093.32	Professional	50	$175.06	$427.22	$1,093.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $447.20 / $677.60	Professional		$5.00	$447.20	$677.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $286.11 / $395.75 / $656.74	Professional		$286.11	$395.75	$656.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $259.48 / $259.48 / $417.25	Facility		$259.48	$259.48	$417.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $261.17 / $417.25	Professional		$251.17	$261.17	$417.25
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 $241.65 / $346.37 / $541.71	Professional		$241.65	$346.37	$541.71