Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $1,379.10 / $4,384.91	Facility		$256.41	$1,379.10	$4,384.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $967.75 / $2,064.71 / $3,602.66	Facility	50	$967.75	$2,064.71	$3,602.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $170.56 / $419.11	Professional		$54.79	$170.56	$419.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.45 / $189.27 / $471.06	Professional	50	$81.45	$189.27	$471.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $90.35 / $90.35	Professional		$90.35	$90.35	$90.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $135.53 / $135.53 / $135.53	Professional	50	$135.53	$135.53	$135.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,253.94 / $1,658.79 / $6,320.26	Facility		$1,253.94	$1,658.79	$6,320.26
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 $225.39 / $265.99 / $379.61	Professional		$225.39	$265.99	$379.61
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $338.08 / $398.99 / $569.41	Professional	50	$338.08	$398.99	$569.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $100.61	Facility		$100.61	$100.61	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $140.16 / $364.97	Professional		$63.71	$140.16	$364.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $364.77 / $472.74	Professional		$118.59	$364.77	$472.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.60 / $1,108.83 / $2,554.34	Facility		$726.60	$1,108.83	$2,554.34
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,100.82 / $1,307.14 / $3,311.05	Facility	50	$1,100.82	$1,307.14	$3,311.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $78.05 / $240.55	Professional		$54.96	$78.05	$240.55
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.83 / $117.08 / $360.83	Professional	50	$84.83	$117.08	$360.83
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,053.63 / $1,649.94 / $6,281.60	Facility		$1,053.63	$1,649.94	$6,281.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $1,284.00 / $4,653.85	Facility		$148.60	$1,284.00	$4,653.85
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $235.77 / $1,962.91 / $3,570.66	Facility	50	$235.77	$1,962.91	$3,570.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $170.56 / $493.92	Professional		$55.95	$170.56	$493.92
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $83.01 / $183.62 / $471.06	Professional	50	$83.01	$183.62	$471.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $205.60 / $532.29	Professional		$205.60	$205.60	$532.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $100.61	Facility		$100.61	$100.61	$100.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $149.25 / $366.20	Professional		$63.71	$149.25	$366.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $57.55 / $231.75	Facility		$55.82	$57.55	$231.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $162.16 / $251.67	Professional		$55.84	$162.16	$251.67
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 $167.41 / $245.20 / $353.61	Professional		$167.41	$245.20	$353.61