Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $1,704.04 / $5,606.58	Facility		$346.11	$1,704.04	$5,606.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.67 / $103.67 / $243.82	Facility	52	$103.67	$103.67	$243.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.47 / $41.47 / $97.53	Facility	53	$41.47	$41.47	$97.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $378.00 / $698.17	Professional		$192.85	$378.00	$698.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $114.71 / $274.49	Professional		$89.24	$114.71	$274.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,729.00 / $3,001.19 / $7,545.00	Facility		$1,729.00	$3,001.19	$7,545.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $424.30 / $440.31 / $440.31	Professional		$424.30	$440.31	$440.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $905.03 / $1,865.00	Facility		$429.00	$905.03	$1,865.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.58 / $399.35 / $766.04	Professional		$219.58	$399.35	$766.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $438.46 / $438.46 / $438.46	Facility		$438.46	$438.46	$438.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $513.21 / $680.51 / $876.20	Professional		$513.21	$680.51	$876.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $1,802.71 / $3,474.43	Facility		$863.29	$1,802.71	$3,474.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $314.13 / $388.11	Professional		$240.36	$314.13	$388.11
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $867.95 / $2,934.86 / $7,467.20	Facility		$867.95	$2,934.86	$7,467.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,570.80 / $5,606.58	Facility		$316.00	$1,570.80	$5,606.58
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $103.67 / $103.67 / $243.82	Facility	52	$103.67	$103.67	$243.82
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $41.47 / $41.47 / $97.53	Facility	53	$41.47	$41.47	$97.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $197.21 / $420.89 / $934.00	Professional		$197.21	$420.89	$934.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $484.00 / $3,429.43 / $3,429.43	Facility		$484.00	$3,429.43	$3,429.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.50 / $572.00 / $1,089.20	Professional		$259.50	$572.00	$1,089.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $897.93 / $1,865.00	Facility		$338.16	$897.93	$1,865.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $219.58 / $400.28 / $766.04	Professional		$219.58	$400.28	$766.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $341.61 / $563.50	Facility		$193.60	$341.61	$563.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $421.58 / $461.21	Professional		$193.60	$421.58	$461.21
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,631.00 / $3,742.00	Facility		$553.00	$1,631.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $499.21 / $823.62	Professional		$369.34	$499.21	$823.62