Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.89 / $4,048.00 / $8,427.00	Facility		$555.89	$4,048.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.35 / $582.63 / $825.83	Professional		$481.35	$582.63	$825.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,887.29 / $1,887.29 / $2,421.56	Professional	50	$1,887.29	$1,887.29	$2,421.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $458.47 / $516.53 / $824.74	Professional		$458.47	$516.53	$824.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $2,594.00 / $5,296.01	Facility		$680.00	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.55 / $747.54 / $1,265.77	Professional		$501.55	$747.54	$1,265.77
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $752.32 / $1,128.30 / $1,898.62	Professional	50	$752.32	$1,128.30	$1,898.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $596.01 / $954.43	Professional		$402.18	$596.01	$954.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $655.00 / $781.34	Professional		$192.00	$655.00	$781.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.14 / $958.88 / $2,533.69	Facility		$751.14	$958.88	$2,533.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.60 / $620.80 / $669.79	Professional		$566.60	$620.80	$669.79
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $931.22 / $931.22 / $931.22	Professional	50	$931.22	$931.22	$931.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,894.00 / $9,534.00	Facility		$921.00	$4,894.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $593.63 / $1,585.77	Professional		$484.80	$593.63	$1,585.77
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $1,887.29 / $1,887.29 / $2,421.56	Professional	50	$1,887.29	$1,887.29	$2,421.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $700.28 / $759.20 / $946.32	Professional		$700.28	$759.20	$946.32
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $586.94 / $954.43	Professional		$403.74	$586.94	$954.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $477.48 / $494.87 / $758.69	Facility		$477.48	$494.87	$758.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $474.59 / $494.87 / $758.69	Professional		$474.59	$494.87	$758.69
United Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $1,219.00 / $4,300.00	Facility		$412.00	$1,219.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.98 / $620.66 / $989.11	Professional		$484.98	$620.66	$989.11