Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $2,543.00 / $7,799.00	Facility		$144.49	$2,543.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $122.54 / $235.51	Professional		$50.14	$122.54	$235.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $89.92 / $99.75	Professional		$42.00	$89.92	$99.75
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 $110.27 / $114.43 / $145.65	Professional		$110.27	$114.43	$145.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $99.14 / $240.75	Professional		$49.45	$99.14	$240.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $170.94 / $227.46	Professional		$132.00	$170.94	$227.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.43 / $1,002.70 / $5,869.83	Facility		$458.43	$1,002.70	$5,869.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $63.49 / $90.03	Professional		$54.56	$63.49	$90.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $451.15 / $2,543.00 / $8,017.00	Facility		$451.15	$2,543.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $126.68 / $309.20	Professional		$50.99	$126.68	$309.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $104.03 / $308.39	Professional		$68.00	$104.03	$308.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $81.79 / $81.79	Facility		$53.95	$81.79	$81.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $96.25 / $229.91	Professional		$50.32	$96.25	$229.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $60.41 / $113.16	Facility		$46.76	$60.41	$113.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $60.41 / $121.59	Professional		$46.76	$60.41	$121.59
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 $104.03 / $161.94 / $292.91	Professional		$104.03	$161.94	$292.91