Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.68 / $2,682.23 / $8,017.00	Facility		$235.68	$2,682.23	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,130.61 / $3,986.76 / $8,266.99	Facility	50	$1,130.61	$3,986.76	$8,266.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $170.30 / $489.43	Professional		$137.74	$170.30	$489.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.09 / $365.29 / $1,150.50	Professional	50	$156.09	$365.29	$1,150.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,301.79 / $1,699.29 / $21,483.32	Facility		$1,301.79	$1,699.29	$21,483.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $5,374.55 / $8,639.91	Facility		$1,824.00	$5,374.55	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $247.68 / $366.08	Professional		$159.16	$247.68	$366.08
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $238.75 / $372.51 / $549.12	Professional	50	$238.75	$372.51	$549.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $208.42 / $333.36	Professional		$156.29	$208.42	$333.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $252.05 / $254.52	Professional		$190.00	$252.05	$254.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.80 / $3,555.99 / $6,054.62	Facility		$1,054.80	$3,555.99	$6,054.62
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $830.01 / $3,128.85 / $6,442.16	Facility	50	$830.01	$3,128.85	$6,442.16
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,236.66 / $1,698.18 / $6,558.69	Facility		$1,236.66	$1,698.18	$6,558.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $3,510.33 / $8,017.00	Facility		$258.85	$3,510.33	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,042.61 / $3,783.76 / $7,780.34	Facility	50	$1,042.61	$3,783.76	$7,780.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.40 / $216.65 / $505.79	Professional		$141.40	$216.65	$505.79
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $201.87 / $365.29 / $908.44	Professional	50	$201.87	$365.29	$908.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $195.40 / $412.00	Professional		$4.00	$195.40	$412.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $212.90 / $361.94	Professional		$160.46	$212.90	$361.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $156.08 / $156.08 / $222.18	Facility		$156.08	$156.08	$222.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $156.08 / $222.18	Professional		$152.38	$156.08	$222.18
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $193.96 / $327.64	Professional		$140.38	$193.96	$327.64