Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,839.00 / $8,017.00	Facility		$1,068.00	$3,839.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,018.70 / $1,664.56	Professional		$765.90	$1,018.70	$1,664.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $989.39 / $1,012.54 / $1,239.48	Professional		$989.39	$1,012.54	$1,239.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $998.35 / $1,036.02 / $1,666.24	Professional		$998.35	$1,036.02	$1,666.24
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,497.53 / $1,554.04 / $2,499.39	Professional	50	$1,497.53	$1,554.04	$2,499.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.24 / $1,001.44 / $1,670.04	Professional		$789.24	$1,001.44	$1,670.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.20 / $1,214.20 / $1,565.74	Professional		$1,214.20	$1,214.20	$1,565.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,198.12 / $7,965.33 / $34,355.69	Facility		$5,198.12	$7,965.33	$34,355.69
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,110.37 / $2,110.37 / $8,117.40	Facility	50	$2,110.37	$2,110.37	$8,117.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.89 / $1,252.14 / $11,033.75	Professional		$873.89	$1,252.14	$11,033.75
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,878.21 / $1,878.21 / $1,878.21	Professional	50	$1,878.21	$1,878.21	$1,878.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,070.00 / $8,017.00	Facility		$1,013.00	$4,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $1,085.19 / $3,387.84	Professional		$765.90	$1,085.19	$3,387.84
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $984.90 / $984.90 / $984.90	Professional		$984.90	$984.90	$984.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $800.56 / $1,036.02 / $1,670.04	Professional		$800.56	$1,036.02	$1,670.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,000.94 / $1,000.94 / $1,000.94	Facility		$1,000.94	$1,000.94	$1,000.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $983.50 / $1,000.94 / $1,068.47	Professional		$983.50	$1,000.94	$1,068.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,509.00 / $12,137.37	Facility		$2,332.00	$5,509.00	$12,137.37
United Facility/Professional Professional Modifier Low / Median / High Price $824.91 / $1,065.48 / $1,856.08	Professional		$824.91	$1,065.48	$1,856.08