Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,432.90 / $2,089.86	Professional		$111.92	$1,432.90	$2,089.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,685.28 / $2,685.28 / $3,780.63	Professional	50	$2,685.28	$2,685.28	$3,780.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,013.65 / $1,013.65 / $1,013.65	Professional		$1,013.65	$1,013.65	$1,013.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,030.73 / $2,079.06 / $2,761.48	Professional		$1,030.73	$2,079.06	$2,761.48
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,546.09 / $3,118.58 / $4,142.22	Professional	50	$1,546.09	$3,118.58	$4,142.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $272.08 / $2,400.90	Professional		$130.29	$272.08	$2,400.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.89 / $1,923.89 / $1,995.66	Professional		$1,923.89	$1,923.89	$1,995.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.55 / $2,680.22 / $3,937.58	Facility		$703.55	$2,680.22	$3,937.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $1,368.75 / $1,505.63	Professional		$139.69	$1,368.75	$1,505.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,389.00 / $8,017.00	Facility		$918.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,432.90 / $2,449.64	Professional		$111.92	$1,432.90	$2,449.64
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $2,685.28 / $3,670.41 / $3,780.63	Professional	50	$2,685.28	$3,670.41	$3,780.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $1,187.81 / $2,185.40	Professional		$111.66	$1,187.81	$2,185.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $284.85 / $2,376.73	Professional		$134.00	$284.85	$2,376.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $135.11 / $1,679.25	Facility		$114.96	$135.11	$1,679.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $135.11 / $1,372.99	Professional		$114.96	$135.11	$1,372.99
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.37 / $1,822.65 / $2,918.43	Professional		$1,380.37	$1,822.65	$2,918.43