Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.30 / $3,514.97 / $8,451.00	Facility		$286.30	$3,514.97	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $143.25 / $314.02	Professional		$71.70	$143.25	$314.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $189.60 / $199.32 / $1,571.75	Professional	50	$189.60	$199.32	$1,571.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $113.87 / $257.10	Professional		$90.95	$113.87	$257.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $715.56 / $12,594.23	Facility		$522.48	$715.56	$12,594.23
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 $149.80 / $263.68 / $314.73	Professional		$149.80	$263.68	$314.73
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $254.73 / $395.53 / $472.05	Professional	50	$254.73	$395.53	$472.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $173.10 / $347.66	Professional		$82.95	$173.10	$347.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $270.41 / $279.33	Professional		$204.34	$270.41	$279.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,514.13 / $6,092.61 / $12,154.81	Facility		$1,514.13	$6,092.61	$12,154.81
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $480.68 / $728.81 / $12,091.95	Facility		$480.68	$728.81	$12,091.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $286.30 / $2,986.53 / $8,598.11	Facility		$286.30	$2,986.53	$8,598.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $148.71 / $376.66	Professional		$71.98	$148.71	$376.66
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $189.60 / $199.32 / $689.33	Professional	50	$189.60	$199.32	$689.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $189.90 / $469.40	Professional		$5.00	$189.90	$469.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.95 / $176.24 / $350.65	Professional		$83.95	$176.24	$350.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $86.49 / $182.86	Facility		$73.67	$86.49	$182.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $166.06 / $181.21	Professional		$73.67	$166.06	$181.21
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $212.62 / $336.47	Professional		$169.30	$212.62	$336.47