Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,894.00 / $8,451.00	Facility		$1,013.00	$4,894.00	$8,451.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $547.20 / $613.94 / $613.94	Facility	54	$547.20	$613.94	$613.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $818.58 / $1,123.54	Professional		$617.51	$818.58	$1,123.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,034.14 / $1,034.14 / $1,034.14	Professional		$1,034.14	$1,034.14	$1,034.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $608.30 / $631.27 / $2,031.34	Professional		$608.30	$631.27	$2,031.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.88 / $1,005.59 / $1,680.91	Professional		$573.88	$1,005.59	$1,680.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $735.18 / $735.18 / $948.03	Professional		$735.18	$735.18	$948.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,835.63 / $5,730.99 / $9,657.37	Facility		$3,835.63	$5,730.99	$9,657.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.53 / $756.11 / $1,057.30	Professional		$751.53	$756.11	$1,057.30
Highmark BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $152.13 / $152.13 / $152.13	Professional	55	$152.13	$152.13	$152.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,410.10 / $9,534.00	Facility		$1,151.00	$5,410.10	$9,534.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $613.94 / $613.94 / $613.94	Facility	54	$613.94	$613.94	$613.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $712.87 / $875.54 / $2,431.17	Professional		$712.87	$875.54	$2,431.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $1,033.50 / $1,033.50	Professional		$1,033.50	$1,033.50	$1,033.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $577.59 / $976.58 / $1,680.91	Professional		$577.59	$976.58	$1,680.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $597.25 / $597.25 / $902.44	Facility		$597.25	$597.25	$902.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $585.91 / $597.25 / $902.44	Professional		$585.91	$597.25	$902.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $3,879.00 / $7,508.00	Facility		$2,228.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.43 / $1,076.63 / $1,803.92	Professional		$881.43	$1,076.63	$1,803.92