Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $28.57 / $357.30	Facility		$17.88	$28.57	$357.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $26.75 / $46.33	Professional		$16.73	$26.75	$46.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $67.31 / $91.95	Professional	50	$48.35	$67.31	$91.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $26.55 / $34.18	Professional		$25.09	$26.55	$34.18
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 $27.99 / $29.05 / $47.50	Professional		$27.99	$29.05	$47.50
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $41.99 / $43.58 / $71.28	Professional	50	$41.99	$43.58	$71.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $30.07	Facility		$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $34.03 / $65.53	Professional		$17.67	$34.03	$65.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $43.30 / $56.64	Professional		$32.79	$43.30	$56.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $382.84 / $483.10	Facility		$353.55	$382.84	$483.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $28.67 / $32.71	Professional		$26.53	$28.67	$32.71
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.79 / $42.09 / $46.29	Professional	50	$39.79	$42.09	$46.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $33.65 / $357.68	Facility		$17.88	$33.65	$357.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $28.55 / $48.85	Professional		$17.47	$28.55	$48.85
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $67.31 / $91.95	Professional	50	$48.35	$67.31	$91.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $45.20 / $68.80	Professional		$21.79	$45.20	$68.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $30.07 / $30.07	Facility		$30.07	$30.07	$30.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $34.03 / $75.34	Professional		$17.37	$34.03	$75.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $27.41 / $40.31	Facility		$17.29	$27.41	$40.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $26.78 / $31.17	Professional		$17.29	$26.78	$31.17
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 $28.30 / $38.35 / $61.00	Professional		$28.30	$38.35	$61.00