Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $873.94 / $3,340.00	Facility		$55.23	$873.94	$3,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $54.84 / $252.20	Professional		$44.00	$54.84	$252.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $72.31	Professional		$72.31	$72.31	$72.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $86.83 / $112.54	Professional		$52.67	$86.83	$112.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $74.42 / $122.62	Professional		$52.83	$74.42	$122.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $91.80 / $93.22	Professional		$69.52	$91.80	$93.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $311.16 / $1,082.58	Facility		$55.69	$311.16	$1,082.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $57.33 / $73.11	Professional		$55.09	$57.33	$73.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $991.14 / $5,342.00	Facility		$70.56	$991.14	$5,342.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $70.56 / $253.00	Professional		$44.02	$70.56	$253.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $66.80 / $152.60	Professional		$65.00	$66.80	$152.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $76.09 / $124.63	Professional		$54.74	$76.09	$124.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $55.98 / $66.37	Facility		$48.97	$55.98	$66.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $57.23 / $61.74	Professional		$48.97	$57.23	$61.74
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $73.40 / $119.75	Professional		$54.23	$73.40	$119.75