Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.54 / $2,381.00 / $7,984.35	Facility		$277.54	$2,381.00	$7,984.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.54 / $69.54 / $138.77	Facility	52	$69.54	$69.54	$138.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $174.64 / $399.61	Professional		$2.06	$174.64	$399.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $124.34 / $248.68	Professional		$96.21	$124.34	$248.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,253.94 / $1,717.35 / $24,954.37	Facility		$1,253.94	$1,717.35	$24,954.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $259.14 / $345.93	Professional		$249.71	$259.14	$345.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $260.60 / $451.55	Professional		$149.19	$260.60	$451.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.93 / $393.99 / $405.62	Professional		$297.93	$393.99	$405.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,491.37 / $3,594.85 / $6,245.03	Facility		$1,491.37	$3,594.85	$6,245.03
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,153.61 / $1,717.35 / $7,291.53	Facility		$1,153.61	$1,717.35	$7,291.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $358.25 / $2,467.00 / $7,175.00	Facility		$358.25	$2,467.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $69.54 / $69.54 / $138.77	Facility	52	$69.54	$69.54	$138.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $204.63 / $460.67	Professional		$2.08	$204.63	$460.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $279.60 / $719.00	Professional		$6.00	$279.60	$719.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $270.92 / $477.29	Professional		$149.44	$270.92	$477.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $246.03 / $412.91	Facility		$129.36	$246.03	$412.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $241.64 / $278.35	Professional		$129.36	$241.64	$278.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $2,804.21 / $5,859.84	Facility		$1,214.00	$2,804.21	$5,859.84
United Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $315.16 / $511.34	Professional		$223.46	$315.16	$511.34