Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $1,020.00 / $5,627.00	Facility		$66.09	$1,020.00	$5,627.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.00 / $825.84 / $2,471.01	Facility	50	$467.00	$825.84	$2,471.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $73.41 / $139.44	Professional		$42.71	$73.41	$139.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $154.88 / $481.80	Professional	50	$99.29	$154.88	$481.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $125.43 / $125.43	Professional		$125.43	$125.43	$125.43
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 $81.68 / $112.05 / $135.75	Professional		$81.68	$112.05	$135.75
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $122.53 / $170.06 / $203.67	Professional	50	$122.53	$170.06	$203.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $79.31	Facility		$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $80.31 / $134.69	Professional		$47.85	$80.31	$134.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $129.86 / $167.85	Professional		$97.17	$129.86	$167.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.09 / $623.52 / $1,325.15	Facility		$352.09	$623.52	$1,325.15
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,162.22 / $1,162.22 / $1,805.57	Facility	50	$1,162.22	$1,162.22	$1,805.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $98.21 / $111.27	Professional		$71.93	$98.21	$111.27
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.20 / $154.44 / $187.39	Professional	50	$118.20	$154.44	$187.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $1,357.00 / $5,958.00	Facility		$75.81	$1,357.00	$5,958.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $467.00 / $825.84 / $2,471.01	Facility	50	$467.00	$825.84	$2,471.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $78.86 / $162.71	Professional		$42.84	$78.86	$162.71
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $102.42 / $154.88 / $481.80	Professional	50	$102.42	$154.88	$481.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $79.20 / $138.38	Professional		$57.68	$79.20	$138.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $79.31	Facility		$79.31	$79.31	$79.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $80.54 / $144.34	Professional		$47.77	$80.54	$144.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $50.94 / $79.70	Facility		$44.93	$50.94	$79.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $77.62 / $85.11	Professional		$44.93	$77.62	$85.11
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 $72.16 / $94.35 / $151.07	Professional		$72.16	$94.35	$151.07