Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $5,188.00 / $12,932.05	Facility		$882.00	$5,188.00	$12,932.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $545.29 / $1,883.98	Professional		$315.83	$545.29	$1,883.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,343.84 / $4,579.60 / $27,109.86	Facility		$3,343.84	$4,579.60	$27,109.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,800.00 / $11,479.00 / $17,952.00	Facility		$5,800.00	$11,479.00	$17,952.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $356.53 / $369.99 / $659.89	Professional		$356.53	$369.99	$659.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.47 / $586.21 / $1,001.22	Professional		$347.47	$586.21	$1,001.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $419.57 / $557.90 / $557.90	Professional		$419.57	$557.90	$557.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,723.54 / $10,274.37 / $17,372.89	Facility		$3,723.54	$10,274.37	$17,372.89
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,058.24 / $4,626.96 / $10,548.72	Facility		$3,058.24	$4,626.96	$10,548.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $5,075.00 / $12,957.33	Facility		$768.00	$5,075.00	$12,957.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $327.68 / $546.10 / $1,518.15	Professional		$327.68	$546.10	$1,518.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $699.00 / $1,169.90	Professional		$4.00	$699.00	$1,169.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $586.21 / $1,120.04	Professional		$369.57	$586.21	$1,120.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $350.70 / $350.70 / $580.66	Facility		$350.70	$350.70	$580.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.03 / $354.45 / $580.66	Professional		$338.03	$354.45	$580.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.16 / $583.38 / $899.36	Professional		$362.16	$583.38	$899.36