Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.08 / $1,344.56 / $5,475.00	Facility		$230.08	$1,344.56	$5,475.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,085.50 / $3,103.00 / $6,027.20	Facility	50	$3,085.50	$3,103.00	$6,027.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $124.86 / $362.59	Professional		$68.87	$124.86	$362.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $124.71 / $124.71	Professional		$124.71	$124.71	$124.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,253.94 / $1,717.35 / $9,997.27	Facility		$1,253.94	$1,717.35	$9,997.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $6,846.16	Facility		$1,772.00	$2,838.15	$6,846.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $201.63 / $280.13	Professional		$147.88	$201.63	$280.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $136.47 / $271.49	Professional		$81.92	$136.47	$271.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $266.25 / $273.99	Professional		$201.16	$266.25	$273.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,070.35 / $3,656.24 / $6,972.42	Facility		$1,070.35	$3,656.24	$6,972.42
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,854.41 / $3,854.41 / $4,413.09	Facility	50	$3,854.41	$3,854.41	$4,413.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $165.94 / $283.52	Professional		$145.79	$165.94	$283.52
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,153.61 / $1,698.18 / $8,058.17	Facility		$1,153.61	$1,698.18	$8,058.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $230.08 / $1,964.03 / $5,627.00	Facility		$230.08	$1,964.03	$5,627.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,085.50 / $3,103.00 / $6,027.20	Facility	50	$3,085.50	$3,103.00	$6,027.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $134.02 / $362.59	Professional		$68.95	$134.02	$362.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $172.02 / $284.89	Professional		$108.16	$172.02	$284.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $145.12 / $271.49	Professional		$84.22	$145.12	$271.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $87.53 / $171.02	Facility		$83.76	$87.53	$171.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $156.08 / $183.56	Professional		$83.76	$156.08	$183.56
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $159.55 / $258.42	Professional		$116.94	$159.55	$258.42