Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,682.97 / $9,534.00	Facility		$594.00	$3,682.97	$9,534.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,013.63 / $7,674.08 / $25,295.29	Facility	50	$7,013.63	$7,674.08	$25,295.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.06 / $848.82 / $2,168.94	Professional		$312.06	$848.82	$2,168.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $548.25 / $1,557.00 / $2,360.30	Professional	50	$548.25	$1,557.00	$2,360.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $314.50 / $501.71	Professional		$144.21	$314.50	$501.71
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $256.29 / $471.75 / $730.89	Professional	50	$256.29	$471.75	$730.89
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 $1,587.92 / $2,322.00 / $2,895.86	Professional		$1,587.92	$2,322.00	$2,895.86
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,381.88 / $3,483.00 / $4,343.79	Professional	50	$2,381.88	$3,483.00	$4,343.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $669.46 / $2,624.31	Professional		$328.51	$669.46	$2,624.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.65 / $2,530.83 / $3,293.41	Professional		$1,945.65	$2,530.83	$3,293.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,338.10 / $17,747.31 / $24,267.11	Facility		$4,338.10	$17,747.31	$24,267.11
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,183.92 / $14,681.16 / $23,728.09	Facility	50	$2,183.92	$14,681.16	$23,728.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.78 / $401.47 / $1,821.95	Professional		$345.78	$401.47	$1,821.95
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $517.53 / $626.30 / $1,501.80	Professional	50	$517.53	$626.30	$1,501.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $756.71 / $3,839.00 / $9,251.00	Facility		$756.71	$3,839.00	$9,251.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,810.00 / $7,773.79 / $25,693.84	Facility	50	$4,810.00	$7,773.79	$25,693.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $1,135.07 / $2,966.71	Professional		$317.16	$1,135.07	$2,966.71
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $548.03 / $1,294.22 / $2,360.30	Professional	50	$548.03	$1,294.22	$2,360.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.60 / $390.40 / $3,528.00	Professional		$341.60	$390.40	$3,528.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $331.24 / $691.28 / $2,548.54	Professional		$331.24	$691.28	$2,548.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $293.38 / $315.77 / $1,571.60	Facility		$293.38	$315.77	$1,571.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $1,364.86 / $1,713.76	Professional		$301.07	$1,364.86	$1,713.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,789.00 / $9,631.00	Facility		$2,304.00	$4,789.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.17 / $1,885.40 / $3,138.01	Professional		$1,557.17	$1,885.40	$3,138.01