Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.39 / $5,650.90 / $25,984.65	Facility		$573.39	$5,650.90	$25,984.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $251.20 / $6,553.21	Professional		$83.69	$251.20	$6,553.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $81.70 / $3,725.46	Professional		$81.70	$81.70	$3,725.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,916.92 / $13,988.88 / $61,660.06	Facility		$9,916.92	$13,988.88	$61,660.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,300.69 / $6,165.13 / $8,494.29	Professional		$3,300.69	$6,165.13	$8,494.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $199.20 / $7,886.09	Professional		$98.05	$199.20	$7,886.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,183.03 / $6,183.03 / $6,454.94	Professional		$6,183.03	$6,183.03	$6,454.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,567.47 / $18,728.40 / $35,973.24	Facility		$6,567.47	$18,728.40	$35,973.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $95.03 / $95.03	Professional		$95.03	$95.03	$95.03
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,437.86 / $12,692.88 / $49,700.24	Facility		$8,437.86	$12,692.88	$49,700.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $4,761.00 / $24,339.44	Facility		$536.00	$4,761.00	$24,339.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $251.20 / $8,127.99	Professional		$84.81	$251.20	$8,127.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,903.90 / $6,201.00 / $12,777.10	Professional		$5,903.90	$6,201.00	$12,777.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $211.57 / $7,886.09	Professional		$98.05	$211.57	$7,886.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $101.37 / $5,425.32	Facility		$85.04	$101.37	$5,425.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $101.37 / $4,539.05	Professional		$85.04	$101.37	$4,539.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $10,875.00 / $26,637.13	Facility		$3,742.00	$10,875.00	$26,637.13
United Facility/Professional Professional Modifier Low / Median / High Price $4,643.43 / $6,047.61 / $9,686.76	Professional		$4,643.43	$6,047.61	$9,686.76