Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.17 / $2,384.96 / $11,730.78	Facility		$245.17	$2,384.96	$11,730.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,651.86 / $3,651.86 / $5,420.00	Facility	50	$3,651.86	$3,651.86	$5,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $288.74 / $1,104.81	Professional		$163.36	$288.74	$1,104.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.63 / $1,144.56 / $1,287.27	Professional	50	$200.63	$1,144.56	$1,287.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $84.24 / $324.74	Professional		$84.24	$84.24	$324.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $676.94 / $1,045.50 / $1,487.33	Professional		$676.94	$1,045.50	$1,487.33
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,015.41 / $1,568.25 / $2,231.00	Professional	50	$1,015.41	$1,568.25	$2,231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $395.85 / $1,395.05	Professional		$191.03	$395.85	$1,395.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.45 / $1,252.45 / $1,290.41	Professional		$1,252.45	$1,252.45	$1,290.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,432.85 / $7,432.85 / $24,937.52	Facility		$7,432.85	$7,432.85	$24,937.52
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,478.21 / $2,478.21 / $2,478.21	Facility	50	$2,478.21	$2,478.21	$2,478.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $229.89 / $285.72	Professional		$208.62	$229.89	$285.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $352.75 / $1,978.00 / $8,427.00	Facility		$352.75	$1,978.00	$8,427.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,651.86 / $3,651.86 / $5,420.00	Facility	50	$3,651.86	$3,651.86	$5,420.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $450.59 / $1,520.31	Professional		$157.86	$450.59	$1,520.31
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $200.63 / $876.25 / $1,287.27	Professional	50	$200.63	$876.25	$1,287.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.37 / $321.80 / $1,686.90	Professional		$162.37	$321.80	$1,686.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $412.03 / $1,378.89	Professional		$193.25	$412.03	$1,378.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $166.81 / $234.47 / $801.68	Facility		$166.81	$234.47	$801.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $234.47 / $872.23	Professional		$160.38	$234.47	$872.23
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $577.00 / $3,742.00	Facility		$144.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.75 / $1,027.03 / $1,689.78	Professional		$768.75	$1,027.03	$1,689.78