Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $907.32 / $4,761.00	Facility		$82.98	$907.32	$4,761.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,452.50 / $2,452.50 / $2,452.50	Facility	50	$2,452.50	$2,452.50	$2,452.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $48.38 / $136.00	Professional		$29.94	$48.38	$136.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $45.03 / $52.85	Professional		$27.46	$45.03	$52.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $691.16 / $10,554.95	Facility		$522.48	$691.16	$10,554.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,419.00 / $12,759.45	Facility		$1,084.00	$1,419.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $82.82 / $129.81	Professional		$72.01	$82.82	$129.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $55.20 / $128.29	Professional		$31.52	$55.20	$128.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $123.89 / $165.14	Professional		$95.82	$123.89	$165.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.83 / $937.16 / $2,005.37	Facility		$119.83	$937.16	$2,005.37
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,646.19 / $2,646.19 / $2,646.19	Facility	50	$2,646.19	$2,646.19	$2,646.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $35.54 / $52.64	Professional		$31.68	$35.54	$52.64
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $419.51 / $682.09 / $10,206.34	Facility		$419.51	$682.09	$10,206.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $974.96 / $5,342.00	Facility		$82.98	$974.96	$5,342.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,452.50 / $2,452.50 / $2,452.50	Facility	50	$2,452.50	$2,452.50	$2,452.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $68.81 / $168.00	Professional		$31.37	$68.81	$168.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $174.30	Professional		$33.20	$33.20	$174.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $54.50 / $54.50	Facility		$39.07	$54.50	$54.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $54.36 / $128.29	Professional		$31.52	$54.36	$128.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $37.58 / $79.50	Facility		$31.75	$37.58	$79.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $39.53 / $85.60	Professional		$31.75	$39.53	$85.60
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $85.53 / $159.13	Professional		$36.52	$85.53	$159.13