Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $2,115.00 / $7,554.36	Facility		$103.71	$2,115.00	$7,554.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $106.28 / $191.40	Professional		$58.64	$106.28	$191.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $15,792.12 / $15,792.12 / $15,792.12	Facility		$15,792.12	$15,792.12	$15,792.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $147.32 / $222.44	Professional		$130.56	$147.32	$222.44
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $195.84 / $220.98 / $333.69	Professional	50	$195.84	$220.98	$333.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $119.82 / $119.82	Facility		$119.82	$119.82	$119.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $121.56 / $214.58	Professional		$69.03	$121.56	$214.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.57 / $204.87 / $266.99	Professional		$154.57	$204.87	$266.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.95 / $1,278.51 / $4,568.20	Facility		$839.95	$1,278.51	$4,568.20
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,044.55 / $5,044.55 / $5,044.55	Facility	50	$5,044.55	$5,044.55	$5,044.55
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15,792.12 / $15,792.12 / $20,007.34	Facility		$15,792.12	$15,792.12	$20,007.34
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $1,741.00 / $7,554.36	Facility		$103.70	$1,741.00	$7,554.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $117.70 / $281.72	Professional		$60.43	$117.70	$281.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $161.90 / $239.30	Professional		$65.90	$161.90	$239.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $119.82 / $119.82	Facility		$119.82	$119.82	$119.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $121.77 / $216.85	Professional		$69.20	$121.77	$216.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $105.09 / $225.15	Facility		$68.11	$105.09	$225.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $128.38 / $139.41	Professional		$68.11	$128.38	$139.41
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $159.79 / $225.40	Professional		$111.11	$159.79	$225.40