Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.91 / $4,066.95 / $6,632.53	Facility		$585.91	$4,066.95	$6,632.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,389.82 / $7,279.39 / $16,327.49	Facility	50	$1,389.82	$7,279.39	$16,327.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $167.83 / $512.00	Professional		$123.07	$167.83	$512.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $210.14 / $258.20	Professional		$145.88	$210.14	$258.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $522.48 / $691.16 / $18,463.25	Facility		$522.48	$691.16	$18,463.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $218.69 / $288.11	Professional		$136.85	$218.69	$288.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $190.84 / $304.39	Professional		$142.01	$190.84	$304.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $219.61 / $219.61	Professional		$164.01	$219.61	$219.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.71 / $2,247.13 / $5,679.03	Facility		$416.71	$2,247.13	$5,679.03
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,372.69 / $2,372.69 / $3,958.91	Facility	50	$2,372.69	$2,372.69	$3,958.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $166.49 / $239.07	Professional		$141.97	$166.49	$239.07
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $439.01 / $682.09 / $12,147.85	Facility		$439.01	$682.09	$12,147.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $444.25 / $2,761.87 / $7,175.00	Facility		$444.25	$2,761.87	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $770.50 / $7,279.39 / $16,327.49	Facility	50	$770.50	$7,279.39	$16,327.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $194.58 / $485.00	Professional		$123.12	$194.58	$485.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $193.65 / $287.10	Professional		$33.20	$193.65	$287.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $192.24 / $317.38	Professional		$148.03	$192.24	$317.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.51 / $133.51 / $148.87	Facility		$133.51	$133.51	$148.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $135.90 / $148.87	Professional		$127.72	$135.90	$148.87
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $175.10 / $290.54	Professional		$140.08	$175.10	$290.54