Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $1,284.00 / $4,888.00	Facility		$88.26	$1,284.00	$4,888.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $344.19 / $956.92 / $2,964.03	Facility	50	$344.19	$956.92	$2,964.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $82.44 / $167.30	Professional		$48.23	$82.44	$167.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.69 / $175.32 / $529.65	Professional	50	$73.69	$175.32	$529.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $135.60 / $135.60	Professional		$135.60	$135.60	$135.60
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 $88.31 / $125.13 / $150.44	Professional		$88.31	$125.13	$150.44
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $132.46 / $188.39 / $225.68	Professional	50	$132.46	$188.39	$225.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $89.02 / $89.02	Facility		$89.02	$89.02	$89.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $89.09 / $149.90	Professional		$54.61	$89.09	$149.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $140.04 / $181.15	Professional		$104.87	$140.04	$181.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.58 / $1,799.34 / $3,108.83	Facility		$573.58	$1,799.34	$3,108.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $570.46 / $3,673.21 / $4,656.14	Facility	50	$570.46	$3,673.21	$4,656.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $110.98 / $135.72	Professional		$86.31	$110.98	$135.72
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.78 / $160.08 / $176.09	Professional	50	$129.78	$160.08	$176.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $1,730.17 / $5,768.50	Facility		$88.26	$1,730.17	$5,768.50
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $344.19 / $2,535.23 / $2,964.03	Facility	50	$344.19	$2,535.23	$2,964.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $87.79 / $187.62	Professional		$48.89	$87.79	$187.62
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $73.69 / $175.32 / $529.65	Professional	50	$73.69	$175.32	$529.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $87.60 / $149.41	Professional		$64.94	$87.60	$149.41
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $89.02 / $89.02	Facility		$89.02	$89.02	$89.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $89.52 / $159.30	Professional		$54.61	$89.52	$159.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $58.23 / $86.58	Facility		$50.85	$58.23	$86.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $84.79 / $92.36	Professional		$50.85	$84.79	$92.36
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $100.22 / $164.90	Professional		$79.89	$100.22	$164.90