Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $806.00 / $5,750.00	Facility		$94.00	$806.00	$5,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $58.28 / $293.00	Professional		$23.88	$58.28	$293.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $55.01 / $108.86	Professional		$55.01	$55.01	$108.86
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 $57.70 / $93.59 / $102.67	Professional		$57.70	$93.59	$102.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $53.51 / $105.03	Professional		$24.73	$53.51	$105.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $89.94 / $92.76	Professional		$69.95	$89.94	$92.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $58.69 / $316.70	Facility		$52.20	$58.69	$316.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $57.01 / $75.88	Professional		$40.61	$57.01	$75.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $1,541.00 / $7,175.00	Facility		$264.00	$1,541.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $58.94 / $279.00	Professional		$24.35	$58.94	$279.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $68.00 / $84.98	Professional		$23.85	$68.00	$84.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $43.09	Facility		$43.09	$43.09	$43.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $56.32 / $107.28	Professional		$25.04	$56.32	$107.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $30.32 / $65.56	Facility		$25.00	$30.32	$65.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $56.32 / $61.69	Professional		$25.00	$56.32	$61.69
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $65.15 / $115.38	Professional		$53.31	$65.15	$115.38