Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.18 / $2,688.05 / $21,273.60	Professional		$707.18	$2,688.05	$21,273.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $260.94 / $260.94	Professional		$260.94	$260.94	$260.94
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 $2,449.05 / $5,049.49 / $9,447.40	Professional		$2,449.05	$5,049.49	$9,447.40
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $3,673.56 / $7,574.23 / $14,171.07	Professional	50	$3,673.56	$7,574.23	$14,171.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,562.05 / $4,562.05 / $4,695.93	Professional		$4,562.05	$4,562.05	$4,695.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,238.99 / $24,074.79 / $41,680.62	Facility		$8,238.99	$24,074.79	$41,680.62
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $22,107.71 / $25,570.05 / $38,594.12	Facility	50	$22,107.71	$25,570.05	$38,594.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $599.78 / $5,237.00	Professional		$537.70	$599.78	$5,237.00
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $841.45 / $861.02 / $922.16	Professional	50	$841.45	$861.02	$922.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $635.28 / $2,688.05 / $21,273.60	Professional		$635.28	$2,688.05	$21,273.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.17 / $2,949.05 / $8,861.60	Professional		$489.17	$2,949.05	$8,861.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $570.59 / $4,446.10	Facility		$473.24	$570.59	$4,446.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $473.24 / $570.59 / $3,229.21	Professional		$473.24	$570.59	$3,229.21
United Facility/Professional Professional Modifier Low / Median / High Price $3,783.21 / $5,405.93 / $8,519.74	Professional		$3,783.21	$5,405.93	$8,519.74