Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.26 / $2,467.00 / $8,017.00	Facility		$330.26	$2,467.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,846.77 / $2,846.77 / $13,402.50	Facility	50	$2,846.77	$2,846.77	$13,402.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $818.23 / $1,642.75	Professional		$240.12	$818.23	$1,642.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $430.70 / $1,201.85	Professional		$111.01	$430.70	$1,201.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $563.08 / $1,178.65 / $2,448.84	Professional		$563.08	$1,178.65	$2,448.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $500.50 / $2,103.42	Professional		$241.02	$500.50	$2,103.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.79 / $1,798.17 / $2,360.07	Professional		$1,386.79	$1,798.17	$2,360.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.83 / $1,289.83 / $3,753.02	Facility		$1,289.83	$1,289.83	$3,753.02
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,876.50 / $1,876.50 / $1,876.50	Facility	50	$1,876.50	$1,876.50	$1,876.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $311.95 / $332.08	Professional		$294.89	$311.95	$332.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $508.02 / $2,605.00 / $8,247.00	Facility		$508.02	$2,605.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,846.77 / $4,174.00 / $13,402.50	Facility	50	$2,846.77	$4,174.00	$13,402.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $1,035.94 / $2,128.76	Professional		$241.91	$1,035.94	$2,128.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.80 / $474.78 / $2,515.61	Professional		$314.80	$474.78	$2,515.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $251.70 / $397.55 / $397.55	Facility		$251.70	$397.55	$397.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $535.91 / $1,997.68	Professional		$241.30	$535.91	$1,997.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $227.03 / $288.79 / $1,192.60	Facility		$227.03	$288.79	$1,192.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $227.03 / $288.79 / $1,299.29	Professional		$227.03	$288.79	$1,299.29
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $3,742.00	Facility		$144.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.13 / $1,498.05 / $2,622.81	Professional		$1,031.13	$1,498.05	$2,622.81