Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.89 / $2,371.00 / $6,012.00	Facility		$592.89	$2,371.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,467.00 / $2,467.00 / $3,124.50	Facility	50	$2,467.00	$2,467.00	$3,124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $295.83 / $684.21	Professional		$116.78	$295.83	$684.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $182.82 / $182.82	Professional		$182.82	$182.82	$182.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $342.82 / $652.16 / $1,098.68	Professional		$342.82	$652.16	$1,098.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $272.70 / $904.81	Professional		$141.86	$272.70	$904.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $583.36 / $773.03 / $802.18	Professional		$583.36	$773.03	$802.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,568.52 / $3,819.78 / $7,007.76	Facility		$1,568.52	$3,819.78	$7,007.76
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,653.21 / $3,653.21 / $4,419.63	Facility	50	$3,653.21	$3,653.21	$4,419.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $6,432.00	Facility		$594.00	$2,266.00	$6,432.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,467.00 / $2,467.00 / $3,124.50	Facility	50	$2,467.00	$2,467.00	$3,124.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $306.35 / $887.57	Professional		$120.56	$306.35	$887.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $191.90 / $1,455.30	Professional		$6.00	$191.90	$1,455.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $298.27 / $904.81	Professional		$141.99	$298.27	$904.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $122.49 / $365.52 / $564.54	Facility		$122.49	$365.52	$564.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $489.16 / $540.19	Professional		$122.49	$489.16	$540.19
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $565.74 / $1,043.90	Professional		$157.24	$565.74	$1,043.90