Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,294.81 / $8,188.19	Facility		$934.00	$3,294.81	$8,188.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,335.00 / $3,335.00 / $3,335.00	Facility	50	$3,335.00	$3,335.00	$3,335.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.03 / $610.20 / $1,500.44	Professional		$516.03	$610.20	$1,500.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $725.70 / $935.55 / $935.55	Professional		$725.70	$935.55	$935.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $609.26 / $924.61 / $1,093.69	Professional		$609.26	$924.61	$1,093.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $691.89 / $691.89	Facility		$691.89	$691.89	$691.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $718.32 / $1,206.90	Professional		$523.00	$718.32	$1,206.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.93 / $980.09 / $1,252.16	Professional		$724.93	$980.09	$1,252.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,298.19 / $4,489.60 / $7,964.77	Facility		$2,298.19	$4,489.60	$7,964.77
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,265.03 / $6,265.03 / $8,668.67	Facility	22	$6,265.03	$6,265.03	$8,668.67
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $29,800.19 / $29,800.19 / $29,800.19	Facility	50	$29,800.19	$29,800.19	$29,800.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.91 / $720.68 / $942.06	Professional		$565.91	$720.68	$942.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $867.90 / $3,712.00 / $8,197.00	Facility		$867.90	$3,712.00	$8,197.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,335.00 / $3,335.00 / $3,335.00	Facility	50	$3,335.00	$3,335.00	$3,335.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $516.04 / $723.43 / $1,659.00	Professional		$516.04	$723.43	$1,659.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.79 / $575.10 / $1,239.50	Professional		$546.79	$575.10	$1,239.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $691.89 / $691.89	Facility		$691.89	$691.89	$691.89
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $747.21 / $1,210.69	Professional		$528.64	$747.21	$1,210.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.73 / $590.58 / $590.58	Facility		$537.73	$590.58	$590.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.73 / $590.58 / $629.22	Professional		$537.73	$590.58	$629.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.95 / $742.30 / $1,061.23	Professional		$550.95	$742.30	$1,061.23