Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.34 / $1,486.98 / $4,888.00	Facility		$191.34	$1,486.98	$4,888.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,208.36 / $2,374.61 / $7,725.86	Facility	50	$2,208.36	$2,374.61	$7,725.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $233.84 / $436.79	Professional		$120.15	$233.84	$436.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $283.77 / $1,332.00	Professional	50	$171.84	$283.77	$1,332.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $242.88 / $279.62	Professional		$234.03	$242.88	$279.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $314.17 / $441.47	Professional		$257.45	$314.17	$441.47
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $386.18 / $508.25 / $662.23	Professional	50	$386.18	$508.25	$662.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $221.83 / $221.83	Facility		$221.83	$221.83	$221.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $241.95 / $444.95	Professional		$129.49	$241.95	$444.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $409.25 / $532.00	Professional		$118.59	$409.25	$532.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,573.35 / $2,406.80 / $4,290.75	Facility		$1,573.35	$2,406.80	$4,290.75
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,411.40 / $3,012.19 / $4,149.25	Facility	50	$2,411.40	$3,012.19	$4,149.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $252.04 / $590.62	Professional		$129.96	$252.04	$590.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $1,544.00 / $5,750.00	Facility		$185.63	$1,544.00	$5,750.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,208.36 / $2,374.61 / $7,725.86	Facility	50	$2,208.36	$2,374.61	$7,725.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $250.47 / $692.22	Professional		$120.18	$250.47	$692.22
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $283.77 / $1,332.00	Professional	50	$171.84	$283.77	$1,332.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $287.39 / $521.50	Professional		$152.52	$287.39	$521.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $221.83 / $221.83	Facility		$221.83	$221.83	$221.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $242.88 / $461.43	Professional		$132.31	$242.88	$461.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $224.58 / $484.54	Facility		$126.72	$224.58	$484.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $251.69 / $274.70	Professional		$126.72	$251.69	$274.70
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $336.23 / $488.65	Professional		$244.91	$336.23	$488.65