Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $24,627.73	Facility		$832.00	$4,761.00	$24,627.73
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,603.99 / $9,534.00 / $22,393.26	Facility	50	$3,603.99	$9,534.00	$22,393.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.85 / $1,215.23 / $2,744.55	Professional	50	$467.85	$1,215.23	$2,744.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $485.32 / $935.33 / $1,037.01	Professional	50	$485.32	$935.33	$1,037.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,522.54 / $11,851.00 / $26,582.19	Facility		$9,522.54	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,899.11 / $4,302.18 / $5,039.71	Professional	50	$2,899.11	$4,302.18	$5,039.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,243.15 / $18,230.56 / $32,987.50	Facility		$1,243.15	$18,230.56	$32,987.50
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,141.33 / $14,216.47 / $36,855.90	Facility	50	$2,141.33	$14,216.47	$36,855.90
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $639.49 / $681.75 / $1,591.80	Professional	50	$639.49	$681.75	$1,591.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,734.00 / $22,010.45	Facility		$954.00	$4,734.00	$22,010.45
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,689.00 / $7,216.46 / $22,393.26	Facility	50	$3,689.00	$7,216.46	$22,393.26
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $467.85 / $1,199.26 / $2,744.55	Professional	50	$467.85	$1,199.26	$2,744.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $354.92 / $1,950.61	Facility		$319.00	$354.92	$1,950.61
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