Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.23 / $4,845.00 / $8,668.62	Facility		$970.23	$4,845.00	$8,668.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $1,078.36 / $1,631.83	Professional		$307.49	$1,078.36	$1,631.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $780.80 / $780.80 / $780.80	Professional		$780.80	$780.80	$780.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $802.54 / $1,362.71 / $2,120.34	Professional		$802.54	$1,362.71	$2,120.34
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,203.80 / $2,059.77 / $3,180.53	Professional	50	$1,203.80	$2,059.77	$3,180.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.61 / $893.22 / $2,220.44	Professional		$304.61	$893.22	$2,220.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.61 / $1,484.61 / $1,516.82	Professional		$1,484.61	$1,484.61	$1,516.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,012.53 / $7,629.34 / $10,648.80	Facility		$6,012.53	$7,629.34	$10,648.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.79 / $409.49 / $1,545.06	Professional		$328.79	$409.49	$1,545.06
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $493.19 / $493.19 / $493.19	Professional	50	$493.19	$493.19	$493.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,068.00 / $8,017.00	Facility		$832.00	$4,068.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $1,078.36 / $2,264.32	Professional		$307.49	$1,078.36	$2,264.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.51 / $960.18 / $2,631.50	Professional		$258.51	$960.18	$2,631.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $313.56 / $914.77 / $2,220.44	Professional		$313.56	$914.77	$2,220.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $267.79 / $389.69 / $1,428.07	Facility		$267.79	$389.69	$1,428.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $267.79 / $389.69 / $1,022.57	Professional		$267.79	$389.69	$1,022.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.16 / $1,584.25 / $2,314.94	Professional		$1,036.16	$1,584.25	$2,314.94