Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.55 / $5,199.00 / $11,268.32	Facility		$662.55	$5,199.00	$11,268.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,142.81 / $10,936.02 / $19,956.56	Facility	50	$4,142.81	$10,936.02	$19,956.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $499.98 / $1,010.34	Professional		$393.86	$499.98	$1,010.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $396.91 / $658.17 / $714.20	Professional		$396.91	$658.17	$714.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $5,951.00 / $8,887.00	Facility		$2,800.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $569.67 / $843.82 / $1,008.99	Professional		$569.67	$843.82	$1,008.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.88 / $618.40 / $1,075.13	Professional		$453.88	$618.40	$1,075.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $694.25 / $927.56 / $927.56	Professional		$694.25	$927.56	$927.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.93 / $8,592.85 / $16,054.31	Facility		$3,523.93	$8,592.85	$16,054.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,009.08 / $9,174.96 / $13,535.35	Facility	50	$6,009.08	$9,174.96	$13,535.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $533.34 / $700.49	Professional		$427.35	$533.34	$700.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $811.74 / $4,828.00 / $10,690.97	Facility		$811.74	$4,828.00	$10,690.97
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,142.81 / $10,936.02 / $19,956.56	Facility	50	$4,142.81	$10,936.02	$19,956.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $404.18 / $594.74 / $1,123.88	Professional		$404.18	$594.74	$1,123.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $481.10 / $716.08 / $1,204.52	Professional		$481.10	$716.08	$1,204.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $458.96 / $644.91 / $1,075.13	Professional		$458.96	$644.91	$1,075.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $408.77 / $452.19 / $557.48	Facility		$408.77	$452.19	$557.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $435.95 / $487.99 / $594.69	Professional		$435.95	$487.99	$594.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.68 / $643.17 / $1,099.11	Professional		$419.68	$643.17	$1,099.11