Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.45 / $1,901.00 / $6,012.00	Facility		$118.45	$1,901.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $141.96 / $237.69	Professional		$37.10	$141.96	$237.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $58.80 / $136.62	Professional		$37.22	$58.80	$136.62
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 $165.61 / $171.86 / $293.25	Professional		$165.61	$171.86	$293.25
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $239.47 / $257.80 / $396.77	Professional	50	$239.47	$257.80	$396.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $156.24 / $269.05	Professional		$42.84	$156.24	$269.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $260.97 / $344.29	Professional		$201.61	$260.97	$344.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.87 / $489.25 / $1,688.40	Facility		$343.87	$489.25	$1,688.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $48.07 / $218.48	Professional		$43.70	$48.07	$218.48
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $471.72 / $471.72 / $471.72	Professional	50	$471.72	$471.72	$471.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.25 / $1,901.00 / $7,073.50	Facility		$120.25	$1,901.00	$7,073.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $145.96 / $394.64	Professional		$37.89	$145.96	$394.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $484.90	Professional		$161.00	$161.00	$484.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $156.55 / $265.05	Professional		$42.98	$156.55	$265.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $45.72 / $179.03	Facility		$39.60	$45.72	$179.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $152.94 / $194.81	Professional		$39.60	$152.94	$194.81
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 $144.94 / $179.70 / $305.14	Professional		$144.94	$179.70	$305.14