Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $685.15 / $1,328.37	Professional		$186.34	$685.15	$1,328.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $397.81 / $397.81 / $397.81	Professional		$397.81	$397.81	$397.81
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,716.87 / $3,720.93 / $30,777.10	Facility		$2,716.87	$3,720.93	$30,777.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $4,354.00 / $8,459.92	Facility		$1,824.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $337.29 / $447.08	Professional		$195.47	$337.29	$447.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.30 / $636.07 / $1,227.33	Professional		$502.30	$636.07	$1,227.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $373.18 / $381.76	Professional		$281.77	$373.18	$381.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.61 / $4,192.00 / $8,373.15	Facility		$1,625.61	$4,192.00	$8,373.15
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,181.46 / $3,546.86 / $29,549.65	Facility		$2,181.46	$3,546.86	$29,549.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $330.85 / $1,328.37	Professional		$158.12	$330.85	$1,328.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $221.20 / $639.40	Professional		$5.00	$221.20	$639.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $502.30 / $636.07 / $1,227.33	Professional		$502.30	$636.07	$1,227.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $232.06 / $300.69	Facility		$125.86	$232.06	$300.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $228.81 / $249.52	Professional		$125.86	$228.81	$249.52
United Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $294.80 / $519.57	Professional		$213.07	$294.80	$519.57