Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.85 / $1,435.24 / $3,618.52	Facility		$195.85	$1,435.24	$3,618.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $887.38 / $2,266.00 / $5,390.28	Facility	50	$887.38	$2,266.00	$5,390.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $175.65 / $329.15	Professional		$98.04	$175.65	$329.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.50 / $288.42 / $913.16	Professional	50	$141.50	$288.42	$913.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $241.81 / $241.81 / $241.81	Professional	50	$241.81	$241.81	$241.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $292.14 / $375.87	Professional		$187.62	$292.14	$375.87
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $281.43 / $438.21 / $563.80	Professional	50	$281.43	$438.21	$563.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Facility		$178.63	$178.63	$178.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $194.85 / $337.05	Professional		$112.43	$194.85	$337.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $297.26 / $386.52	Professional		$118.59	$297.26	$386.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.82 / $2,007.38 / $3,833.12	Facility		$775.82	$2,007.38	$3,833.12
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,200.56 / $3,199.72 / $5,985.83	Facility	50	$1,200.56	$3,199.72	$5,985.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $193.44 / $211.56	Professional		$99.18	$193.44	$211.56
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.37 / $290.16 / $315.81	Professional	50	$157.37	$290.16	$315.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.38 / $1,646.62 / $4,761.00	Facility		$172.38	$1,646.62	$4,761.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,016.02 / $3,327.00 / $5,390.28	Facility	50	$1,016.02	$3,327.00	$5,390.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $186.70 / $462.53	Professional		$100.81	$186.70	$462.53
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $147.06 / $300.19 / $898.82	Professional	50	$147.06	$300.19	$898.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $209.20 / $424.60	Professional		$209.20	$209.20	$424.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $178.63	Facility		$178.63	$178.63	$178.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $195.20 / $343.55	Professional		$112.43	$195.20	$343.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $130.28 / $200.07	Facility		$101.98	$130.28	$200.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $181.04 / $197.35	Professional		$101.98	$181.04	$197.35
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $272.57 / $383.74	Professional		$187.57	$272.57	$383.74