Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,954.00 / $8,017.00	Facility		$918.00	$2,954.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,358.82 / $17,358.82 / $20,757.65	Facility	50	$17,358.82	$17,358.82	$20,757.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $1,126.85 / $1,639.83	Professional		$296.33	$1,126.85	$1,639.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $222.00 / $222.00 / $222.00	Professional	50	$222.00	$222.00	$222.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,147.20 / $1,841.26 / $2,647.43	Professional		$1,147.20	$1,841.26	$2,647.43
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,720.79 / $2,761.86 / $3,971.12	Professional	50	$1,720.79	$2,761.86	$3,971.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $616.38 / $2,221.85	Professional		$290.94	$616.38	$2,221.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.38 / $1,821.23 / $2,375.82	Professional		$1,400.38	$1,821.23	$2,375.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.24 / $328.47 / $347.42	Professional		$297.24	$328.47	$347.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,126.88 / $8,247.00	Facility		$954.00	$3,126.88	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $20,757.65 / $20,757.65 / $20,757.65	Facility	50	$20,757.65	$20,757.65	$20,757.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $1,198.57 / $2,041.40	Professional		$296.33	$1,198.57	$2,041.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.36 / $1,603.40 / $2,824.20	Professional		$426.36	$1,603.40	$2,824.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $639.35 / $2,152.15	Professional		$292.33	$639.35	$2,152.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $274.83 / $1,247.76	Facility		$271.33	$274.83	$1,247.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $271.33 / $1,150.94 / $1,269.99	Professional		$271.33	$1,150.94	$1,269.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,502.00 / $6,000.00	Facility		$2,155.00	$3,502.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.11 / $1,589.61 / $2,637.37	Professional		$1,215.11	$1,589.61	$2,637.37