Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $617.00 / $4,211.00	Facility		$53.88	$617.00	$4,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $59.53 / $208.66	Professional		$38.34	$59.53	$208.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.01 / $85.91 / $109.95	Professional	50	$26.01	$85.91	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $70.69 / $87.31	Professional		$26.91	$70.69	$87.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $59.95 / $125.63	Professional		$56.86	$59.95	$125.63
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $56.86 / $85.59 / $125.63	Professional	50	$56.86	$85.59	$125.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $61.52 / $107.43	Professional		$40.51	$61.52	$107.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $88.98 / $115.63	Professional		$66.95	$88.98	$115.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $463.80 / $1,347.66	Facility		$48.00	$463.80	$1,347.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $72.44 / $83.43	Professional		$60.24	$72.44	$83.43
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.81 / $64.41 / $71.19	Professional	50	$60.81	$64.41	$71.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $1,142.00 / $5,750.00	Facility		$46.51	$1,142.00	$5,750.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $61.82 / $133.31	Professional		$38.61	$61.82	$133.31
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $26.01 / $85.91 / $109.95	Professional	50	$26.01	$85.91	$109.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $71.80 / $115.14	Professional		$48.00	$71.80	$115.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Facility		$65.69	$65.69	$65.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $62.06 / $108.74	Professional		$40.51	$62.06	$108.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $47.04 / $60.54	Facility		$38.29	$47.04	$60.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $54.95 / $59.78	Professional		$38.29	$54.95	$59.78
United Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $711.76 / $3,742.00	Facility		$364.00	$711.76	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $67.06 / $108.32	Professional		$51.52	$67.06	$108.32