Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $7,629.00	Facility		$617.00	$2,266.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $1,117.89 / $1,807.41	Professional		$53.56	$1,117.89	$1,807.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,130.61 / $1,130.61 / $1,130.61	Professional		$1,130.61	$1,130.61	$1,130.61
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 $1,198.46 / $1,796.06 / $2,521.75	Professional		$1,198.46	$1,796.06	$2,521.75
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,797.69 / $2,726.85 / $3,782.60	Professional	50	$1,797.69	$2,726.85	$3,782.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $1,009.23 / $1,833.56	Professional		$42.27	$1,009.23	$1,833.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.19 / $1,531.19 / $1,974.51	Professional		$1,531.19	$1,531.19	$1,974.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,914.03 / $3,914.03 / $3,914.03	Facility		$3,914.03	$3,914.03	$3,914.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $1,320.94 / $1,544.37	Professional		$91.32	$1,320.94	$1,544.37
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,060.66 / $2,060.66 / $2,060.66	Professional	50	$2,060.66	$2,060.66	$2,060.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $1,185.07 / $2,173.40	Professional		$53.25	$1,185.07	$2,173.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $919.40 / $2,562.84	Professional		$55.17	$919.40	$2,562.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $1,009.23 / $1,833.56	Professional		$42.27	$1,009.23	$1,833.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $847.51 / $1,309.40	Facility		$51.24	$847.51	$1,309.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $1,120.30 / $1,309.40	Professional		$51.09	$1,120.30	$1,309.40
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $6,000.00	Facility		$814.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.64 / $1,540.85 / $2,524.73	Professional		$1,263.64	$1,540.85	$2,524.73