Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $1,819.00 / $6,012.00	Facility		$65.37	$1,819.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,724.50 / $3,724.50 / $3,724.50	Facility	50	$3,724.50	$3,724.50	$3,724.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $191.14 / $404.53	Professional		$47.13	$191.14	$404.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.58 / $372.08 / $372.08	Professional	50	$229.58	$372.08	$372.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $43.84 / $43.84	Professional		$43.84	$43.84	$43.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $65.76 / $65.76 / $65.76	Professional	50	$65.76	$65.76	$65.76
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 $231.85 / $240.60 / $577.79	Professional		$231.85	$240.60	$577.79
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $347.78 / $360.90 / $866.68	Professional	50	$347.78	$360.90	$866.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $139.46 / $504.91	Professional		$47.03	$139.46	$504.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $366.85 / $481.91	Professional		$283.02	$366.85	$481.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $5,248.25 / $12,107.34	Facility		$140.41	$5,248.25	$12,107.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $63.03 / $454.35	Professional		$57.30	$63.03	$454.35
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.75 / $93.75 / $93.75	Professional	50	$93.75	$93.75	$93.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $325.75 / $1,978.00 / $7,175.00	Facility		$325.75	$1,978.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,724.50 / $3,724.50 / $3,724.50	Facility	50	$3,724.50	$3,724.50	$3,724.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $235.52 / $537.29	Professional		$49.05	$235.52	$537.29
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $229.58 / $229.58 / $372.08	Professional	50	$229.58	$229.58	$372.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $456.10 / $583.20 / $726.80	Professional		$456.10	$583.20	$726.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $336.71	Facility		$80.37	$80.37	$336.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $142.15 / $481.50	Professional		$47.44	$142.15	$481.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $200.10 / $1,169.27	Facility		$46.58	$200.10	$1,169.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $241.98 / $267.77	Professional		$46.58	$241.98	$267.77
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $3,742.00	Facility		$144.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $357.98 / $635.46	Professional		$284.20	$357.98	$635.46