Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.96 / $3,830.00 / $8,240.00	Facility		$660.96	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $575.24 / $911.56	Professional		$428.62	$575.24	$911.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $1,492.96	Professional	50	$1,141.71	$1,181.43	$1,492.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $672.31 / $672.31 / $672.31	Professional	50	$672.31	$672.31	$672.31
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 $584.88 / $606.95 / $1,061.01	Professional		$584.88	$606.95	$1,061.01
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $877.31 / $910.42 / $1,591.51	Professional	50	$877.31	$910.42	$1,591.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $579.36 / $917.24	Professional		$425.13	$579.36	$917.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $711.85 / $711.85 / $917.94	Professional		$711.85	$711.85	$917.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,686.12 / $5,021.88 / $8,246.29	Facility		$3,686.12	$5,021.88	$8,246.29
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,215.85 / $4,855.64 / $5,589.78	Facility	50	$3,215.85	$4,855.64	$5,589.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.10 / $586.32 / $729.67	Professional		$577.10	$586.32	$729.67
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $814.49 / $865.65 / $1,101.05	Professional	50	$814.49	$865.65	$1,101.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,597.00 / $8,247.00	Facility		$976.00	$4,597.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $460.02 / $590.23 / $1,612.84	Professional		$460.02	$590.23	$1,612.84
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $1,492.96	Professional	50	$1,141.71	$1,181.43	$1,492.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $779.40 / $779.40 / $779.40	Professional		$779.40	$779.40	$779.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $428.64 / $579.25 / $914.75	Professional		$428.64	$579.25	$914.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $460.43 / $516.59 / $630.41	Facility		$460.43	$516.59	$630.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $458.09 / $570.79 / $630.41	Professional		$458.09	$570.79	$630.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.07 / $678.62 / $1,105.07	Professional		$517.07	$678.62	$1,105.07