Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $258.05 / $963.36	Facility		$55.03	$258.05	$963.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $79.78 / $211.36	Professional		$53.10	$79.78	$211.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $154.35	Professional	50	$118.88	$118.88	$154.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $75.39 / $93.62	Professional		$71.89	$75.39	$93.62
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 $76.37 / $82.40 / $140.41	Professional		$76.37	$82.40	$140.41
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $114.56 / $134.27 / $210.62	Professional	50	$114.56	$134.27	$210.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $92.20	Facility		$92.20	$92.20	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $88.84 / $159.51	Professional		$58.17	$88.84	$159.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $121.37 / $157.11	Professional		$90.96	$121.37	$157.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $126.86 / $1,533.23	Facility		$58.16	$126.86	$1,533.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $94.74 / $145.29	Professional		$76.84	$94.74	$145.29
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.68 / $126.78 / $1,170.00	Professional	50	$109.68	$126.78	$1,170.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $240.10 / $916.58	Facility		$77.09	$240.10	$916.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $87.42 / $205.35	Professional		$55.93	$87.42	$205.35
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $308.02	Professional	50	$118.88	$118.88	$308.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $100.50 / $176.60	Professional		$67.80	$100.50	$176.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $92.20 / $92.20	Facility		$92.20	$92.20	$92.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $88.84 / $162.00	Professional		$57.42	$88.84	$162.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $71.53 / $90.78	Facility		$52.63	$71.53	$90.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $71.39 / $77.84	Professional		$52.63	$71.39	$77.84
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 $72.70 / $97.12 / $148.65	Professional		$72.70	$97.12	$148.65