Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.73 / $6,343.27 / $15,537.12	Facility		$1,368.73	$6,343.27	$15,537.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,773.00 / $9,914.52 / $21,795.56	Facility	50	$2,773.00	$9,914.52	$21,795.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.88 / $1,109.06 / $1,996.75	Professional		$318.88	$1,109.06	$1,996.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $612.04 / $612.04 / $612.04	Professional	50	$612.04	$612.04	$612.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $418.51 / $864.89	Professional		$148.72	$418.51	$864.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.17 / $446.17 / $446.17	Professional	50	$446.17	$446.17	$446.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $812.80 / $1,577.17 / $2,747.06	Professional		$812.80	$1,577.17	$2,747.06
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,219.23 / $2,365.75 / $4,120.59	Professional	50	$1,219.23	$2,365.75	$4,120.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $970.78 / $2,555.48	Professional		$305.20	$970.78	$2,555.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.71 / $1,612.71 / $1,647.68	Professional		$1,612.71	$1,612.71	$1,647.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,349.44 / $7,209.16 / $14,512.56	Facility		$2,349.44	$7,209.16	$14,512.56
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $13,494.70 / $16,006.20 / $16,734.28	Facility	50	$13,494.70	$16,006.20	$16,734.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $409.49 / $1,153.93	Professional		$296.58	$409.49	$1,153.93
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $424.14 / $472.10 / $557.05	Professional	50	$424.14	$472.10	$557.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $5,868.00 / $13,184.44	Facility		$1,216.00	$5,868.00	$13,184.44
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,773.00 / $9,914.52 / $21,795.56	Facility	50	$2,773.00	$9,914.52	$21,795.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $321.50 / $973.63 / $2,291.63	Professional		$321.50	$973.63	$2,291.63
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $612.04 / $612.04 / $612.04	Professional	50	$612.04	$612.04	$612.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $1,041.90 / $3,033.70	Professional		$258.47	$1,041.90	$3,033.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $992.98 / $2,604.86	Professional		$313.83	$992.98	$2,604.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $268.06 / $391.11 / $2,037.32	Facility		$268.06	$391.11	$2,037.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $268.06 / $391.11 / $1,126.96	Professional		$268.06	$391.11	$1,126.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,331.00 / $6,000.00	Facility		$1,447.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,249.88 / $1,874.44 / $2,903.99	Professional		$1,249.88	$1,874.44	$2,903.99