Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.48 / $1,422.74 / $3,782.54	Facility		$179.48	$1,422.74	$3,782.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $883.00 / $1,909.00 / $5,719.30	Facility	50	$883.00	$1,909.00	$5,719.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $159.12 / $330.36	Professional		$82.95	$159.12	$330.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $121.52 / $275.12 / $766.44	Professional	50	$121.52	$275.12	$766.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.61 / $208.61 / $244.65	Professional	50	$208.61	$208.61	$244.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,439.52 / $9,439.52 / $9,439.52	Facility		$9,439.52	$9,439.52	$9,439.52
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 $172.89 / $264.27 / $335.56	Professional		$172.89	$264.27	$335.56
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $259.33 / $396.42 / $503.36	Professional	50	$259.33	$396.42	$503.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Facility		$153.97	$153.97	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $174.79 / $301.27	Professional		$96.22	$174.79	$301.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $275.58 / $475.00	Professional		$207.04	$275.58	$475.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.31 / $1,940.69 / $3,831.20	Facility		$887.31	$1,940.69	$3,831.20
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $974.41 / $3,230.04 / $5,378.12	Facility	50	$974.41	$3,230.04	$5,378.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $166.16 / $396.93	Professional		$85.28	$166.16	$396.93
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $127.91 / $250.89 / $284.92	Professional	50	$127.91	$250.89	$284.92
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,439.52 / $9,439.52 / $11,959.11	Facility		$9,439.52	$9,439.52	$11,959.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $157.65 / $1,633.00 / $4,761.00	Facility		$157.65	$1,633.00	$4,761.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $946.56 / $2,600.50 / $6,316.50	Facility	50	$946.56	$2,600.50	$6,316.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $166.93 / $425.90	Professional		$85.73	$166.93	$425.90
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $121.65 / $271.77 / $713.91	Professional	50	$121.65	$271.77	$713.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $187.50 / $385.40	Professional		$187.50	$187.50	$385.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Facility		$153.97	$153.97	$153.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $174.79 / $315.56	Professional		$96.22	$174.79	$315.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $117.71 / $181.05	Facility		$87.71	$117.71	$181.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $167.10 / $182.55	Professional		$87.71	$167.10	$182.55
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 $170.28 / $240.82 / $347.76	Professional		$170.28	$240.82	$347.76