Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.46 / $4,065.28 / $9,534.00	Facility		$341.46	$4,065.28	$9,534.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,048.50 / $5,686.57 / $31,796.76	Facility	50	$1,048.50	$5,686.57	$31,796.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $304.76 / $545.07	Professional		$228.43	$304.76	$545.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $348.99 / $361.02	Professional		$195.88	$348.99	$361.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.08 / $524.28 / $630.48	Professional		$331.08	$524.28	$630.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $360.25 / $613.63	Professional		$255.00	$360.25	$613.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.41 / $536.86 / $536.86	Professional		$402.41	$536.86	$536.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.66 / $8,127.90 / $20,707.24	Facility		$2,613.66	$8,127.90	$20,707.24
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $22,043.85 / $22,043.85 / $22,043.85	Facility	50	$22,043.85	$22,043.85	$22,043.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $274.13 / $366.11	Professional		$272.66	$274.13	$366.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $3,268.87 / $8,609.00	Facility		$376.98	$3,268.87	$8,609.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,048.50 / $18,141.66 / $31,796.76	Facility	50	$1,048.50	$18,141.66	$31,796.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $349.03 / $758.86	Professional		$229.90	$349.03	$758.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.10 / $394.89 / $689.34	Professional		$246.10	$394.89	$689.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $381.73 / $613.63	Professional		$265.14	$381.73	$613.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $249.66 / $279.83 / $356.75	Facility		$249.66	$279.83	$356.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $249.66 / $318.98 / $350.69	Professional		$249.66	$318.98	$350.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.76 / $397.29 / $664.71	Professional		$292.76	$397.29	$664.71