Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $649.35 / $4,264.00	Facility		$127.82	$649.35	$4,264.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $84.10 / $84.10 / $2,590.00	Facility	50	$84.10	$84.10	$2,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $172.90 / $396.47	Professional		$63.60	$172.90	$396.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $277.69 / $606.12	Professional	50	$166.68	$277.69	$606.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.26 / $158.82	Professional		$62.93	$86.26	$158.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.96 / $109.96 / $109.96	Professional	50	$109.96	$109.96	$109.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $216.20 / $224.36 / $370.72	Professional		$216.20	$224.36	$370.72
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $324.30 / $336.53 / $556.09	Professional	50	$324.30	$336.53	$556.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $152.71 / $349.77	Professional		$69.65	$152.71	$349.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $338.84 / $448.52	Professional		$261.81	$338.84	$448.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.69 / $488.00 / $1,126.40	Facility		$318.69	$488.00	$1,126.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $86.12 / $274.70	Professional		$73.81	$86.12	$274.70
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $412.37 / $412.37 / $412.37	Professional	50	$412.37	$412.37	$412.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $987.16 / $5,933.90	Facility		$127.82	$987.16	$5,933.90
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $84.10 / $84.10 / $2,590.00	Facility	50	$84.10	$84.10	$2,590.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $173.16 / $475.65	Professional		$65.68	$173.16	$475.65
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $277.69 / $606.12	Professional	50	$166.68	$277.69	$606.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $470.30 / $575.60	Professional		$260.50	$470.30	$575.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $115.83 / $115.83	Facility		$71.94	$115.83	$115.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $156.41 / $347.02	Professional		$69.95	$156.41	$347.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $154.57 / $1,139.85	Facility		$66.98	$154.57	$1,139.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $223.25 / $245.32	Professional		$66.98	$223.25	$245.32
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.34 / $257.35 / $481.80	Professional		$197.34	$257.35	$481.80