Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.17 / $1,097.84 / $3,158.25	Facility		$98.17	$1,097.84	$3,158.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $531.62 / $1,390.76 / $2,593.86	Facility	50	$531.62	$1,390.76	$2,593.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $91.70 / $233.10	Professional		$55.09	$91.70	$233.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.31 / $146.91 / $452.01	Professional	50	$86.31	$146.91	$452.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $91.31 / $91.31	Professional		$91.31	$91.31	$91.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $145.79 / $190.94	Professional		$96.03	$145.79	$190.94
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $144.04 / $218.67 / $286.38	Professional	50	$144.04	$218.67	$286.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $101.68	Facility		$101.68	$101.68	$101.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $99.69 / $170.12	Professional		$64.08	$99.69	$170.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $151.16 / $196.19	Professional		$113.59	$151.16	$196.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.37 / $511.87 / $1,765.52	Facility		$198.37	$511.87	$1,765.52
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $344.86 / $1,165.13 / $3,531.05	Facility	50	$344.86	$1,165.13	$3,531.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $60.03 / $97.56	Professional		$55.59	$60.03	$97.56
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.20 / $146.34 / $156.32	Professional	50	$88.20	$146.34	$156.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $1,035.83 / $4,264.00	Facility		$84.71	$1,035.83	$4,264.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $513.99 / $1,938.34 / $3,290.34	Facility	50	$513.99	$1,938.34	$3,290.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $96.00 / $261.08	Professional		$56.87	$96.00	$261.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $87.28 / $156.97 / $452.01	Professional	50	$87.28	$156.97	$452.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $202.50	Professional		$104.60	$104.60	$202.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $101.68	Facility		$101.68	$101.68	$101.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $100.05 / $172.96	Professional		$64.08	$100.05	$172.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $65.34 / $99.04	Facility		$57.85	$65.34	$99.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $91.97 / $99.93	Professional		$57.85	$91.97	$99.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $131.36 / $189.56	Professional		$93.32	$131.36	$189.56