Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.53 / $2,747.00 / $7,712.83	Facility		$472.53	$2,747.00	$7,712.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,497.86 / $12,497.86 / $12,497.86	Facility	50	$12,497.86	$12,497.86	$12,497.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $984.94 / $2,050.02	Professional		$284.02	$984.94	$2,050.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.42 / $234.85 / $628.94	Professional	50	$117.42	$234.85	$628.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $156.56 / $306.42	Professional		$156.56	$156.56	$306.42
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 $1,508.14 / $2,193.55 / $2,874.88	Professional		$1,508.14	$2,193.55	$2,874.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,262.19 / $3,290.32 / $4,312.31	Professional	50	$2,262.19	$3,290.32	$4,312.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.08 / $663.44 / $2,604.88	Professional		$328.08	$663.44	$2,604.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.99 / $2,403.46 / $3,125.91	Professional		$1,846.99	$2,403.46	$3,125.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,369.90 / $2,799.20 / $20,202.72	Facility		$1,369.90	$2,799.20	$20,202.72
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,218.00 / $3,107.82 / $24,147.36	Facility	50	$1,218.00	$3,107.82	$24,147.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.40 / $378.04 / $398.17	Professional		$376.40	$378.04	$398.17
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $542.96 / $542.96 / $597.24	Professional	50	$542.96	$542.96	$597.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,120.00 / $8,017.00	Facility		$657.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,320.68 / $12,497.86 / $12,497.86	Facility	50	$4,320.68	$12,497.86	$12,497.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $1,129.33 / $2,811.58	Professional		$310.33	$1,129.33	$2,811.58
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $117.42 / $234.85 / $628.94	Professional	50	$117.42	$234.85	$628.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.60 / $390.40 / $3,359.40	Professional		$341.60	$390.40	$3,359.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $329.86 / $688.40 / $2,434.61	Professional		$329.86	$688.40	$2,434.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $292.16 / $312.94 / $1,484.66	Facility		$292.16	$312.94	$1,484.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $1,354.97 / $1,618.05	Professional		$298.31	$1,354.97	$1,618.05
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 $1,493.63 / $1,867.04 / $3,008.98	Professional		$1,493.63	$1,867.04	$3,008.98