Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.88 / $5,147.18 / $9,885.89	Facility		$1,335.88	$5,147.18	$9,885.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.04 / $79.04 / $250.87	Facility	53	$79.04	$79.04	$250.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $718.07 / $1,756.99	Professional		$337.94	$718.07	$1,756.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $466.79 / $601.91	Professional		$274.41	$466.79	$601.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,218.45 / $4,407.87 / $20,402.09	Facility		$3,218.45	$4,407.87	$20,402.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $346.21 / $346.21 / $346.21	Professional		$346.21	$346.21	$346.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,547.00 / $8,831.50 / $19,139.18	Facility		$6,547.00	$8,831.50	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $792.69 / $1,311.49 / $2,113.17	Professional		$792.69	$1,311.49	$2,113.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.97 / $735.18 / $1,802.32	Professional		$354.97	$735.18	$1,802.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.54 / $1,456.54 / $1,493.89	Professional		$1,456.54	$1,456.54	$1,493.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.29 / $7,340.76 / $13,343.78	Facility		$2,919.29	$7,340.76	$13,343.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.98 / $486.17 / $938.23	Professional		$340.98	$486.17	$938.23
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,960.96 / $4,234.85 / $15,079.81	Facility		$2,960.96	$4,234.85	$15,079.81
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $346.21 / $346.21 / $346.21	Professional		$346.21	$346.21	$346.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,280.17 / $5,526.00 / $10,098.25	Facility		$1,280.17	$5,526.00	$10,098.25
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $79.04 / $79.04 / $250.87	Facility	53	$79.04	$79.04	$250.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $723.19 / $1,892.57	Professional		$337.95	$723.19	$1,892.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,901.24 / $5,118.91 / $6,254.98	Facility		$4,901.24	$5,118.91	$6,254.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.67 / $900.01 / $1,891.66	Professional		$308.67	$900.01	$1,891.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $370.40 / $760.12 / $1,797.11	Professional		$370.40	$760.12	$1,797.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $950.04 / $1,468.78	Facility		$322.45	$950.04	$1,468.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $936.17 / $1,028.93	Professional		$322.45	$936.17	$1,028.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,331.00 / $6,000.00	Facility		$1,447.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.93 / $1,344.05 / $2,092.87	Professional		$1,017.93	$1,344.05	$2,092.87