Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.03 / $2,175.56 / $15,690.40	Professional		$573.03	$2,175.56	$15,690.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,000.62 / $4,020.63 / $6,402.05	Professional		$2,000.62	$4,020.63	$6,402.05
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $3,000.93 / $6,030.94 / $9,603.08	Professional	50	$3,000.93	$6,030.94	$9,603.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,725.02 / $3,725.02 / $3,837.18	Professional		$3,725.02	$3,725.02	$3,837.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,228.20 / $22,434.58 / $38,245.74	Facility		$19,228.20	$22,434.58	$38,245.74
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $17,454.58 / $17,454.58 / $17,454.58	Facility	50	$17,454.58	$17,454.58	$17,454.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.58 / $469.58 / $710.94	Professional		$423.58	$469.58	$710.94
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $833.66 / $833.66 / $1,066.40	Professional	50	$833.66	$833.66	$1,066.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $515.86 / $2,175.56 / $15,690.40	Professional		$515.86	$2,175.56	$15,690.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $397.02 / $2,995.58 / $6,423.60	Professional		$397.02	$2,995.58	$6,423.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $384.38 / $486.85 / $3,008.69	Facility		$384.38	$486.85	$3,008.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $384.38 / $486.85 / $2,624.38	Professional		$384.38	$486.85	$2,624.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,764.10 / $3,733.93 / $5,630.42	Professional		$2,764.10	$3,733.93	$5,630.42