Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.84 / $2,546.88 / $7,842.74	Facility		$434.84	$2,546.88	$7,842.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $325.00 / $11,343.59 / $22,931.54	Facility	50	$325.00	$11,343.59	$22,931.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $207.71 / $440.51	Professional		$108.73	$207.71	$440.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $198.28 / $584.11 / $834.88	Professional	50	$198.28	$584.11	$834.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.02 / $417.02 / $417.02	Professional		$417.02	$417.02	$417.02
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 $205.47 / $250.86 / $386.17	Professional		$205.47	$250.86	$386.17
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $314.13 / $376.28 / $579.25	Professional	50	$314.13	$376.28	$579.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $203.89 / $203.89	Facility		$203.89	$203.89	$203.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $228.05 / $398.99	Professional		$121.97	$228.05	$398.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $386.38 / $501.20	Professional		$290.17	$386.38	$501.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.69 / $1,762.98 / $4,498.38	Facility		$563.69	$1,762.98	$4,498.38
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,146.28 / $5,190.12 / $8,272.56	Facility	50	$3,146.28	$5,190.12	$8,272.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $154.94 / $307.19	Professional		$131.47	$154.94	$307.19
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $216.92 / $413.25 / $441.60	Professional	50	$216.92	$413.25	$441.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,578.00 / $7,842.74	Facility		$594.00	$2,578.00	$7,842.74
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $325.00 / $11,343.59 / $22,931.54	Facility	50	$325.00	$11,343.59	$22,931.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $222.45 / $717.35	Professional		$112.41	$222.45	$717.35
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $198.28 / $545.89 / $834.88	Professional	50	$198.28	$545.89	$834.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.40 / $334.70 / $527.20	Professional		$252.40	$334.70	$527.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $203.89 / $203.89	Facility		$203.89	$203.89	$203.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $228.05 / $412.97	Professional		$121.97	$228.05	$412.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $237.34 / $327.68	Facility		$114.98	$237.34	$327.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $233.78 / $255.39	Professional		$114.98	$233.78	$255.39
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 $219.23 / $304.02 / $474.92	Professional		$219.23	$304.02	$474.92