Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.71 / $3,988.93 / $8,529.86	Facility		$597.71	$3,988.93	$8,529.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.99 / $597.71 / $982.00	Professional		$392.99	$597.71	$982.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.43 / $357.02 / $462.80	Professional		$268.43	$357.02	$462.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $535.53 / $535.53 / $535.53	Professional	50	$535.53	$535.53	$535.53
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 $421.93 / $824.48 / $1,401.96	Professional		$421.93	$824.48	$1,401.96
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $632.89 / $1,446.66 / $2,102.96	Professional	50	$632.89	$1,446.66	$2,102.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $635.13 / $1,070.29	Professional		$354.26	$635.13	$1,070.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $762.06 / $762.06 / $773.46	Professional		$762.06	$762.06	$773.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,041.32 / $7,029.11 / $12,042.99	Facility		$3,041.32	$7,029.11	$12,042.99
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,937.56 / $7,937.56 / $14,108.09	Facility	50	$7,937.56	$7,937.56	$14,108.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.89 / $394.54 / $587.70	Professional		$355.89	$394.54	$587.70
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $566.29 / $635.45 / $881.55	Professional	50	$566.29	$635.45	$881.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $4,068.00 / $8,809.02	Facility		$655.00	$4,068.00	$8,809.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $394.26 / $642.66 / $1,318.02	Professional		$394.26	$642.66	$1,318.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $667.86 / $1,030.64	Professional		$334.34	$667.86	$1,030.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $376.84 / $655.51 / $1,127.86	Professional		$376.84	$655.51	$1,127.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $481.95 / $803.44	Facility		$320.39	$481.95	$803.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $467.95 / $584.67	Professional		$320.39	$467.95	$584.67
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 $486.49 / $653.79 / $1,070.50	Professional		$486.49	$653.79	$1,070.50