Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.89 / $2,463.00 / $8,709.67	Facility		$450.89	$2,463.00	$8,709.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $18,346.34 / $18,346.34 / $18,346.34	Facility	50	$18,346.34	$18,346.34	$18,346.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.31 / $545.28 / $1,384.88	Professional		$263.31	$545.28	$1,384.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $116.96 / $233.92	Professional		$108.88	$116.96	$233.92
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 $631.33 / $797.65 / $1,606.19	Professional		$631.33	$797.65	$1,606.19
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $947.00 / $1,196.48 / $2,409.27	Professional	50	$947.00	$1,196.48	$2,409.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.42 / $513.57 / $1,621.05	Professional		$257.42	$513.57	$1,621.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $931.40 / $1,210.99 / $1,587.14	Professional		$931.40	$1,210.99	$1,587.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.47 / $3,852.80 / $19,320.93	Facility		$821.47	$3,852.80	$19,320.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.39 / $316.33 / $1,013.19	Professional		$277.39	$316.33	$1,013.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,463.00 / $8,247.00	Facility		$540.00	$2,463.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $18,346.34 / $18,346.34 / $18,346.34	Facility	50	$18,346.34	$18,346.34	$18,346.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.32 / $738.03 / $1,605.04	Professional		$263.32	$738.03	$1,605.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $509.22 / $1,811.50	Professional		$347.90	$509.22	$1,811.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $281.94 / $424.16 / $424.16	Facility		$281.94	$424.16	$424.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $501.25 / $1,596.85	Professional		$263.51	$501.25	$1,596.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $242.25 / $313.58 / $802.50	Facility		$242.25	$313.58	$802.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $313.58 / $868.91	Professional		$242.25	$313.58	$868.91
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 $716.03 / $1,094.88 / $1,858.23	Professional		$716.03	$1,094.88	$1,858.23