Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.70 / $11,250.61 / $71,895.66	Facility		$1,894.70	$11,250.61	$71,895.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $207.07 / $256.14 / $256.14	Facility	53	$207.07	$256.14	$256.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.31 / $1,137.99 / $4,272.00	Professional		$893.31	$1,137.99	$4,272.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,556.78 / $1,556.78 / $1,556.78	Professional		$1,556.78	$1,556.78	$1,556.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,813.60 / $23,000.00 / $189,903.25	Facility		$5,813.60	$23,000.00	$189,903.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23,765.15 / $46,478.00 / $77,850.02	Facility		$23,765.15	$46,478.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $814.47 / $1,571.07 / $2,156.96	Professional		$814.47	$1,571.07	$2,156.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,219.00 / $5,359.00 / $7,278.00	Facility		$5,219.00	$5,359.00	$7,278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.30 / $1,466.25 / $2,125.38	Professional		$1,045.30	$1,466.25	$2,125.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.70 / $1,334.70 / $1,474.99	Professional		$1,334.70	$1,334.70	$1,474.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,019.20 / $52,079.36 / $114,074.24	Facility		$15,019.20	$52,079.36	$114,074.24
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,813.60 / $24,364.50 / $189,903.25	Facility		$5,813.60	$24,364.50	$189,903.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $15,000.00 / $71,356.72	Facility		$1,632.00	$15,000.00	$71,356.72
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $256.14 / $256.14 / $256.14	Facility	53	$256.14	$256.14	$256.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $893.31 / $1,267.72 / $4,137.00	Professional		$893.31	$1,267.72	$4,137.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,895.80 / $2,751.30	Professional		$1,153.09	$1,895.80	$2,751.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,219.00 / $5,359.00 / $7,278.00	Facility		$5,219.00	$5,359.00	$7,278.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.30 / $1,476.85 / $2,213.84	Professional		$1,045.30	$1,476.85	$2,213.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $920.72 / $920.72 / $1,016.60	Facility		$920.72	$920.72	$1,016.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $882.31 / $935.69 / $1,016.60	Professional		$882.31	$935.69	$1,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,144.00 / $6,568.00 / $58,228.00	Facility		$2,144.00	$6,568.00	$58,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.20 / $1,439.58 / $2,273.79	Professional		$1,095.20	$1,439.58	$2,273.79