Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $918.00 / $918.00 / $918.00	Facility	50	$918.00	$918.00	$918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.66 / $597.08 / $942.69	Professional		$496.66	$597.08	$942.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $592.25 / $592.25 / $592.25	Professional		$592.25	$592.25	$592.25
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 $589.54 / $611.79 / $1,086.07	Professional		$589.54	$611.79	$1,086.07
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $884.33 / $917.70 / $1,629.11	Professional	50	$884.33	$917.70	$1,629.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.75 / $619.87 / $1,061.53	Professional		$472.75	$619.87	$1,061.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $709.89 / $915.43	Professional		$709.89	$709.89	$915.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.41 / $4,571.60 / $8,079.23	Facility		$1,258.41	$4,571.60	$8,079.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.30 / $724.41 / $735.67	Professional		$681.30	$724.41	$735.67
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,086.61 / $1,086.61 / $1,103.51	Professional	50	$1,086.61	$1,086.61	$1,103.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $918.00 / $918.00 / $918.00	Facility	50	$918.00	$918.00	$918.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $507.52 / $684.10 / $1,915.94	Professional		$507.52	$684.10	$1,915.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $544.90 / $544.90 / $733.49	Professional		$544.90	$544.90	$733.49
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $475.39 / $625.84 / $1,061.53	Professional		$475.39	$625.84	$1,061.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.13 / $576.62 / $576.62	Facility		$489.13	$576.62	$576.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.13 / $576.62 / $611.28	Professional		$489.13	$576.62	$611.28
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 $484.27 / $649.24 / $1,112.45	Professional		$484.27	$649.24	$1,112.45