Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $7,905.52 / $44,894.82	Facility		$1,632.00	$7,905.52	$44,894.82
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $66,020.22 / $66,020.22 / $66,020.22	Facility	22	$66,020.22	$66,020.22	$66,020.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.36 / $1,504.85 / $3,433.16	Professional		$1,291.36	$1,504.85	$3,433.16
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $188.29 / $335.17 / $840.62	Professional	AS	$188.29	$335.17	$840.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.11 / $2,155.38 / $2,400.65	Professional		$355.11	$2,155.38	$2,400.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,445.34 / $2,078.23 / $2,727.55	Professional		$1,445.34	$2,078.23	$2,727.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.45 / $1,636.45 / $1,636.45	Facility		$1,636.45	$1,636.45	$1,636.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.02 / $1,783.76 / $2,909.50	Professional		$1,386.02	$1,783.76	$2,909.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,699.21 / $2,303.13 / $2,935.01	Professional		$1,699.21	$2,303.13	$2,935.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,308.25 / $34,578.23 / $75,168.07	Facility		$9,308.25	$34,578.23	$75,168.07
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $5,956.89 / $16,051.66 / $81,636.33	Facility	22	$5,956.89	$16,051.66	$81,636.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,587.41 / $1,881.30 / $2,322.02	Professional		$1,587.41	$1,881.30	$2,322.02
Highmark BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $219.88 / $233.12 / $263.92	Professional	AS	$219.88	$233.12	$263.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $7,905.52 / $40,690.68	Facility		$1,621.00	$7,905.52	$40,690.68
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $66,020.22 / $66,020.22 / $66,020.22	Facility	22	$66,020.22	$66,020.22	$66,020.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,301.97 / $1,807.91 / $3,804.87	Professional		$1,301.97	$1,807.91	$3,804.87
Martin's Point Facility/Professional Professional Modifier AS Low / Median / High Price $193.47 / $324.70 / $786.90	Professional	AS	$193.47	$324.70	$786.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.80 / $1,545.80 / $2,983.00	Professional		$1,545.80	$1,545.80	$2,983.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,636.45 / $1,636.45 / $1,636.45	Facility		$1,636.45	$1,636.45	$1,636.45
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.63 / $1,825.52 / $3,051.91	Professional		$1,393.63	$1,825.52	$3,051.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,411.86 / $1,411.86 / $1,693.58	Facility		$1,411.86	$1,411.86	$1,693.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,365.25 / $1,422.69 / $1,693.58	Professional		$1,365.25	$1,422.69	$1,693.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,573.00 / $14,299.00	Facility		$3,340.00	$6,573.00	$14,299.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,363.54 / $1,810.18 / $2,909.06	Professional		$1,363.54	$1,810.18	$2,909.06