Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.04 / $5,328.89 / $16,476.68	Facility		$875.04	$5,328.89	$16,476.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,133.00 / $2,582.48 / $14,265.06	Facility	50	$1,133.00	$2,582.48	$14,265.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $431.32 / $1,106.59	Professional		$245.30	$431.32	$1,106.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.89 / $340.01 / $626.66	Professional		$208.89	$340.01	$626.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,148.48 / $37,953.41	Facility		$2,298.89	$3,148.48	$37,953.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $442.85 / $701.10 / $845.37	Professional		$442.85	$701.10	$845.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.42 / $557.67 / $935.57	Professional		$379.42	$557.67	$935.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $536.26 / $717.34 / $717.34	Professional		$536.26	$717.34	$717.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,309.10 / $13,170.72 / $27,494.80	Facility		$2,309.10	$13,170.72	$27,494.80
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,536.38 / $13,775.01 / $23,051.37	Facility	50	$1,536.38	$13,775.01	$23,051.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $521.76 / $730.13	Professional		$446.55	$521.76	$730.13
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,114.96 / $3,206.78 / $18,551.63	Facility		$2,114.96	$3,206.78	$18,551.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $823.37 / $4,424.24 / $16,048.77	Facility		$823.37	$4,424.24	$16,048.77
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,064.00 / $4,726.00 / $14,265.06	Facility	50	$1,064.00	$4,726.00	$14,265.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $488.08 / $1,138.39	Professional		$245.30	$488.08	$1,138.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $620.79 / $915.56	Professional		$387.60	$620.79	$915.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $564.75 / $935.57	Professional		$427.16	$564.75	$935.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.96 / $431.14 / $431.14	Facility		$426.96	$431.14	$431.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $415.39 / $431.14 / $456.33	Professional		$415.39	$431.14	$456.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.92 / $514.16 / $879.26	Professional		$386.92	$514.16	$879.26