Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $5,958.00 / $17,343.30	Facility		$1,119.00	$5,958.00	$17,343.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,756.38 / $6,937.14 / $20,669.56	Facility	50	$3,756.38	$6,937.14	$20,669.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $609.97 / $2,502.69	Professional		$312.25	$609.97	$2,502.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $448.00 / $1,902.85	Professional	50	$156.31	$448.00	$1,902.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $175.66 / $326.00	Professional		$160.63	$175.66	$326.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $240.96 / $464.15 / $569.87	Professional	50	$240.96	$464.15	$569.87
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 Low / Median / High Price $1,884.75 / $2,741.27 / $3,292.21	Professional		$1,884.75	$2,741.27	$3,292.21
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,827.13 / $4,111.91 / $4,938.33	Professional	50	$2,827.13	$4,111.91	$4,938.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.92 / $747.81 / $3,066.07	Professional		$368.92	$747.81	$3,066.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.01 / $3,007.49 / $3,910.88	Professional		$2,312.01	$3,007.49	$3,910.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.10 / $10,101.36 / $28,417.54	Facility		$1,484.10	$10,101.36	$28,417.54
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,217.86 / $3,638.71 / $24,241.07	Facility	50	$1,217.86	$3,638.71	$24,241.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.53 / $480.83 / $1,870.05	Professional		$385.53	$480.83	$1,870.05
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $577.64 / $672.14 / $1,615.34	Professional	50	$577.64	$672.14	$1,615.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,747.00 / $15,425.28	Facility		$1,013.00	$4,747.00	$15,425.28
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,223.77 / $5,600.00 / $20,669.56	Facility	50	$3,223.77	$5,600.00	$20,669.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $811.80 / $3,314.46	Professional		$312.25	$811.80	$3,314.46
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $526.17 / $1,902.85	Professional	50	$156.31	$526.17	$1,902.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.80 / $420.00 / $4,233.84	Professional		$367.80	$420.00	$4,233.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $368.92 / $753.28 / $3,024.84	Professional		$368.92	$753.28	$3,024.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $319.58 / $352.74 / $1,896.59	Facility		$319.58	$352.74	$1,896.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $1,510.37 / $2,070.17	Professional		$335.76	$1,510.37	$2,070.17
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 $1,818.35 / $2,254.32 / $3,801.53	Professional		$1,818.35	$2,254.32	$3,801.53