Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $763.20 / $5,526.00	Facility		$59.25	$763.20	$5,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $62.41 / $138.38	Professional		$38.17	$62.41	$138.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $98.83 / $98.83	Professional		$76.83	$98.83	$98.83
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 $64.36 / $74.51 / $124.09	Professional		$64.36	$74.51	$124.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Facility		$70.06	$70.06	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $65.09 / $111.42	Professional		$42.14	$65.09	$111.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $102.51 / $132.34	Professional		$76.62	$102.51	$132.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.04 / $796.40 / $1,363.32	Facility		$386.04	$796.40	$1,363.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $80.42 / $97.68	Professional		$63.78	$80.42	$97.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $1,246.00 / $5,958.00	Facility		$59.25	$1,246.00	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $66.62 / $137.26	Professional		$39.84	$66.62	$137.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $65.09 / $132.80	Professional		$62.13	$65.09	$132.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $70.06 / $70.06	Facility		$70.06	$70.06	$70.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $66.19 / $114.45	Professional		$42.14	$66.19	$114.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $41.77 / $62.20	Facility		$40.07	$41.77	$62.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $57.29 / $66.42	Professional		$40.07	$57.29	$66.42
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 $54.89 / $73.42 / $114.57	Professional		$54.89	$73.42	$114.57