Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $1,633.00 / $6,012.00	Facility		$536.00	$1,633.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,268.67 / $3,274.89 / $3,883.78	Facility	50	$2,268.67	$3,274.89	$3,883.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.13 / $817.96 / $1,609.79	Professional		$303.13	$817.96	$1,609.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $847.38 / $847.38 / $865.13	Professional	50	$847.38	$847.38	$865.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.29 / $332.69 / $560.41	Professional		$312.29	$332.69	$560.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $371.99 / $1,468.66	Professional		$306.20	$371.99	$1,468.66
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 $331.03 / $532.95 / $1,831.91	Professional		$331.03	$532.95	$1,831.91
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $496.54 / $799.42 / $2,747.87	Professional	50	$496.54	$799.42	$2,747.87
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 $265.45 / $434.41 / $1,291.60	Professional		$265.45	$434.41	$1,291.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $832.50 / $966.63	Professional		$192.00	$832.50	$966.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.21 / $1,276.64 / $3,167.12	Facility		$756.21	$1,276.64	$3,167.12
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,134.33 / $1,738.17 / $5,340.58	Facility	50	$1,134.33	$1,738.17	$5,340.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.35 / $409.15 / $1,000.59	Professional		$366.35	$409.15	$1,000.59
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $553.91 / $758.63 / $15,411.50	Professional	50	$553.91	$758.63	$15,411.50
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $371.99 / $1,468.66	Professional		$306.20	$371.99	$1,468.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,202.69 / $7,197.00	Facility		$617.00	$2,202.69	$7,197.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,142.38 / $3,274.89 / $5,531.95	Facility	50	$2,142.38	$3,274.89	$5,531.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.63 / $765.00 / $1,909.66	Professional		$316.63	$765.00	$1,909.66
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $847.38 / $847.38 / $865.13	Professional	50	$847.38	$847.38	$865.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $394.11 / $1,030.90 / $1,030.90	Professional		$394.11	$1,030.90	$1,030.90
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 $264.51 / $408.33 / $1,306.34	Professional		$264.51	$408.33	$1,306.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $291.35 / $326.45 / $1,011.12	Facility		$291.35	$326.45	$1,011.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $324.55 / $1,011.12	Professional		$290.25	$324.55	$1,011.12
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 $320.39 / $472.15 / $1,155.56	Professional		$320.39	$472.15	$1,155.56