Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,901.00 / $8,017.00	Facility		$428.00	$1,901.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,620.07 / $2,620.07 / $2,620.07	Facility	50	$2,620.07	$2,620.07	$2,620.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $327.20 / $731.16	Professional		$113.01	$327.20	$731.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $987.86 / $987.86 / $987.86	Professional	50	$987.86	$987.86	$987.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $219.97 / $219.97	Professional		$46.93	$219.97	$219.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $329.95 / $329.95 / $329.95	Professional	50	$329.95	$329.95	$329.95
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 $286.93 / $506.99 / $900.34	Professional		$286.93	$506.99	$900.34
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $430.44 / $760.49 / $1,350.53	Professional	50	$430.44	$760.49	$1,350.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $262.79 / $931.45	Professional		$116.93	$262.79	$931.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.77 / $772.66 / $1,014.37	Professional		$595.77	$772.66	$1,014.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,827.34 / $2,827.34 / $2,827.34	Facility		$2,827.34	$2,827.34	$2,827.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $137.18 / $143.74	Professional		$130.65	$137.18	$143.74
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $203.82 / $203.82 / $215.60	Professional	50	$203.82	$203.82	$215.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,070.00 / $8,247.00	Facility		$490.00	$2,070.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,620.07 / $2,620.07 / $2,620.07	Facility	50	$2,620.07	$2,620.07	$2,620.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $380.16 / $986.82	Professional		$111.63	$380.16	$986.82
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $987.86 / $987.86 / $987.86	Professional	50	$987.86	$987.86	$987.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $167.70 / $1,214.70	Professional		$167.70	$167.70	$1,214.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $181.74 / $181.74	Facility		$128.58	$181.74	$181.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $270.00 / $911.99	Professional		$117.25	$270.00	$911.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $176.07 / $519.64	Facility		$104.51	$176.07	$519.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $176.07 / $565.67	Professional		$104.51	$176.07	$565.67
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 $408.84 / $645.16 / $1,076.98	Professional		$408.84	$645.16	$1,076.98