Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.04 / $1,073.47 / $2,813.25	Facility		$364.04	$1,073.47	$2,813.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $198.93 / $248.10	Professional		$134.94	$198.93	$248.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $13,685.45 / $13,685.45 / $13,685.45	Facility		$13,685.45	$13,685.45	$13,685.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $1,206.55	Facility		$285.68	$285.68	$1,206.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $290.04 / $571.78	Professional		$197.28	$290.04	$571.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $259.58 / $357.57	Professional		$191.50	$259.58	$357.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.50 / $1,421.63 / $2,416.26	Facility		$418.50	$1,421.63	$2,416.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $172.45 / $199.18	Professional		$170.74	$172.45	$199.18
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,685.45 / $13,685.45 / $17,338.37	Facility		$13,685.45	$13,685.45	$17,338.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $470.37 / $1,497.56 / $3,246.10	Facility		$470.37	$1,497.56	$3,246.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $203.12 / $831.30	Professional		$136.84	$203.12	$831.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $266.39 / $448.73	Professional		$155.30	$266.39	$448.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $1,005.46	Facility		$285.68	$285.68	$1,005.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $290.04 / $589.38	Professional		$198.19	$290.04	$589.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $155.47 / $165.00	Facility		$155.47	$155.47	$165.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $155.47 / $158.58	Professional		$133.54	$155.47	$158.58
United Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $172.50 / $303.76	Professional		$127.90	$172.50	$303.76