Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $407.85 / $2,783.88	Facility		$62.39	$407.85	$2,783.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $109.09 / $4,172.30 / $4,172.30	Facility	50	$109.09	$4,172.30	$4,172.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $56.12 / $129.94	Professional		$33.95	$56.12	$129.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.54 / $56.54 / $79.16	Professional		$56.54	$56.54	$79.16
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 $51.55 / $77.06 / $117.88	Professional		$51.55	$77.06	$117.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Facility		$61.88	$61.88	$61.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $56.39 / $99.16	Professional		$37.51	$56.39	$99.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $80.79 / $104.99	Professional		$60.79	$80.79	$104.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.82 / $664.32 / $1,251.83	Facility		$227.82	$664.32	$1,251.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $275.64 / $584.19 / $1,363.32	Facility	50	$275.64	$584.19	$1,363.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $67.29 / $81.77	Professional		$61.53	$67.29	$81.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $785.57 / $4,761.00	Facility		$49.72	$785.57	$4,761.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $109.09 / $1,161.76 / $4,172.30	Facility	50	$109.09	$1,161.76	$4,172.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $60.77 / $125.50	Professional		$35.54	$60.77	$125.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $71.80 / $105.30	Professional		$47.83	$71.80	$105.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Facility		$61.88	$61.88	$61.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $56.87 / $102.72	Professional		$37.61	$56.87	$102.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $46.99 / $60.65	Facility		$36.20	$46.99	$60.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $50.22 / $54.62	Professional		$36.20	$50.22	$54.62
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $66.48 / $110.76	Professional		$48.76	$66.48	$110.76