Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.41 / $3,839.00 / $8,451.00	Facility		$723.41	$3,839.00	$8,451.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,439.02 / $6,108.70 / $7,655.00	Facility	50	$3,439.02	$6,108.70	$7,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $693.45 / $1,222.50	Professional		$519.99	$693.45	$1,222.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $1,015.17 / $4,506.14	Professional	50	$787.82	$1,015.17	$4,506.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.51 / $549.51 / $549.51	Professional		$549.51	$549.51	$549.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $824.27 / $824.27 / $824.27	Professional	50	$824.27	$824.27	$824.27
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 $716.93 / $893.62 / $1,309.77	Professional		$716.93	$893.62	$1,309.77
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,075.40 / $1,484.45 / $1,964.64	Professional	50	$1,075.40	$1,484.45	$1,964.64
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 $485.54 / $701.89 / $1,103.17	Professional		$485.54	$701.89	$1,103.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $873.19 / $873.19 / $1,126.00	Professional		$873.19	$873.19	$1,126.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,837.60 / $9,336.90 / $12,552.39	Facility		$2,837.60	$9,336.90	$12,552.39
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.85 / $4,588.96 / $9,427.93	Facility	50	$2,089.85	$4,588.96	$9,427.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.51 / $726.23 / $982.72	Professional		$701.51	$726.23	$982.72
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,015.17 / $1,089.34 / $1,491.96	Professional	50	$1,015.17	$1,089.34	$1,491.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,597.00 / $8,427.00	Facility		$832.00	$4,597.00	$8,427.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,575.00 / $5,514.81 / $8,240.00	Facility	50	$1,575.00	$5,514.81	$8,240.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.21 / $723.41 / $1,893.43	Professional		$562.21	$723.41	$1,893.43
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $1,070.82 / $5,211.51	Professional	50	$787.82	$1,070.82	$5,211.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $806.70 / $806.70 / $806.70	Professional		$806.70	$806.70	$806.70
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 $496.07 / $707.16 / $1,103.17	Professional		$496.07	$707.16	$1,103.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $535.19 / $570.78 / $756.87	Facility		$535.19	$570.78	$756.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $558.86 / $700.49 / $761.21	Professional		$558.86	$700.49	$761.21
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 $646.03 / $808.89 / $1,406.09	Professional		$646.03	$808.89	$1,406.09