Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.11 / $1,712.10 / $4,211.00	Facility		$166.11	$1,712.10	$4,211.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $717.10 / $2,781.54 / $5,238.04	Facility	50	$717.10	$2,781.54	$5,238.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $154.44 / $337.49	Professional		$70.65	$154.44	$337.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $121.04 / $267.49 / $659.15	Professional	50	$121.04	$267.49	$659.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.15 / $162.15 / $162.15	Professional		$162.15	$162.15	$162.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $191.54 / $191.54 / $191.54	Professional	50	$191.54	$191.54	$191.54
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 $155.12 / $218.88 / $301.12	Professional		$155.12	$218.88	$301.12
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $232.68 / $340.84 / $451.69	Professional	50	$232.68	$340.84	$451.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Facility		$141.63	$141.63	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $161.86 / $295.19	Professional		$79.81	$161.86	$295.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.32 / $254.50 / $330.47	Professional		$191.32	$254.50	$330.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.50 / $946.81 / $2,415.31	Facility		$629.50	$946.81	$2,415.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $839.42 / $1,195.99 / $2,432.80	Facility	50	$839.42	$1,195.99	$2,432.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $192.81 / $366.94	Professional		$97.62	$192.81	$366.94
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.91 / $267.83 / $458.96	Professional	50	$145.91	$267.83	$458.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $1,633.00 / $5,627.00	Facility		$139.72	$1,633.00	$5,627.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $704.29 / $2,781.54 / $5,799.08	Facility	50	$704.29	$2,781.54	$5,799.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $161.34 / $364.16	Professional		$76.15	$161.34	$364.16
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $121.04 / $256.37 / $659.15	Professional	50	$121.04	$256.37	$659.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $577.20 / $620.90	Professional		$327.20	$577.20	$620.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Facility		$141.63	$141.63	$141.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $161.86 / $304.30	Professional		$81.95	$161.86	$304.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $157.21 / $364.19	Facility		$80.69	$157.21	$364.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $154.65 / $189.62	Professional		$80.69	$154.65	$189.62
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 $159.36 / $211.41 / $340.01	Professional		$159.36	$211.41	$340.01