Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.84 / $1,234.00 / $5,958.00	Facility		$123.84	$1,234.00	$5,958.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $253.45 / $882.01 / $4,639.68	Facility	50	$253.45	$882.01	$4,639.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $122.52 / $292.29	Professional		$97.59	$122.52	$292.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $387.57 / $834.00	Professional	50	$168.66	$387.57	$834.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $143.81 / $164.52	Professional		$143.81	$143.81	$164.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $197.51 / $237.50	Professional		$136.97	$197.51	$237.50
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $205.46 / $297.45 / $356.24	Professional	50	$205.46	$297.45	$356.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $186.13	Facility		$186.13	$186.13	$186.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $150.53 / $249.76	Professional		$113.77	$150.53	$249.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $227.36 / $284.37	Professional		$164.64	$227.36	$284.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.54 / $1,163.64 / $2,264.71	Facility		$438.54	$1,163.64	$2,264.71
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $947.76 / $1,297.68 / $2,556.25	Facility	50	$947.76	$1,297.68	$2,556.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.22 / $170.22 / $315.42	Professional		$170.22	$170.22	$315.42
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $232.52 / $255.32 / $257.14	Professional	50	$232.52	$255.32	$257.14
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $154.91 / $304.58	Professional		$143.81	$154.91	$304.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $1,544.00 / $7,175.00	Facility		$171.02	$1,544.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $428.10 / $985.63 / $2,589.88	Facility	50	$428.10	$985.63	$2,589.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $142.84 / $348.75	Professional		$98.02	$142.84	$348.75
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $172.64 / $363.15 / $834.00	Professional	50	$172.64	$363.15	$834.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $133.80 / $283.50	Professional		$133.80	$133.80	$283.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $186.13	Facility		$186.13	$186.13	$186.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $154.94 / $254.02	Professional		$113.77	$154.94	$254.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $118.45 / $133.33	Facility		$105.76	$118.45	$133.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $128.24 / $142.12	Professional		$105.76	$128.24	$142.12
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $167.79 / $250.98	Professional		$127.84	$167.79	$250.98