Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.50 / $1,819.00 / $6,432.00	Facility		$308.50	$1,819.00	$6,432.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $925.50 / $2,268.67 / $4,274.89	Facility	50	$925.50	$2,268.67	$4,274.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.06 / $426.57 / $1,041.97	Professional		$232.06	$426.57	$1,041.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $1,408.33 / $3,789.00	Professional	50	$639.87	$1,408.33	$3,789.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.11 / $222.45 / $244.35	Professional		$179.11	$222.45	$244.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $264.77 / $718.73	Professional		$219.74	$264.77	$718.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $2,594.00 / $5,296.01	Facility		$680.00	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $343.63 / $946.66	Professional		$235.80	$343.63	$946.66
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $353.70 / $530.28 / $1,419.99	Professional	50	$353.70	$530.28	$1,419.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $425.42 / $670.61	Professional		$193.74	$425.42	$670.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $287.49 / $287.49 / $370.73	Professional		$287.49	$287.49	$370.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.21 / $947.40 / $2,533.69	Facility		$756.21	$947.40	$2,533.69
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,134.33 / $1,134.33 / $4,074.70	Facility	50	$1,134.33	$1,134.33	$4,074.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $293.81 / $515.07	Professional		$263.41	$293.81	$515.07
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $370.14 / $440.72 / $444.36	Professional	50	$370.14	$440.72	$444.36
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $219.74 / $264.77 / $718.73	Professional		$219.74	$264.77	$718.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,858.27 / $7,175.00	Facility		$480.00	$1,858.27	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $925.50 / $2,268.67 / $4,274.89	Facility	50	$925.50	$2,268.67	$4,274.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $232.06 / $411.16 / $1,201.36	Professional		$232.06	$411.16	$1,201.36
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $1,408.33 / $3,789.00	Professional	50	$639.87	$1,408.33	$3,789.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $502.60 / $502.60	Professional		$325.64	$502.60	$502.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $193.55 / $430.11 / $707.83	Professional		$193.55	$430.11	$707.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $232.58 / $484.57	Facility		$206.97	$232.58	$484.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.38 / $230.42 / $484.57	Professional		$205.38	$230.42	$484.57
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,219.00 / $4,300.00	Facility		$412.00	$1,219.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.79 / $546.34 / $1,009.85	Professional		$365.79	$546.34	$1,009.85