Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.34 / $1,426.00 / $7,799.00	Facility		$96.34	$1,426.00	$7,799.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.25 / $10.25 / $10.53	Facility	53	$10.25	$10.25	$10.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $55.64 / $188.42	Professional		$42.54	$55.64	$188.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $66.80 / $71.48	Professional		$66.80	$66.80	$71.48
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 $45.14 / $71.86 / $124.09	Professional		$45.14	$71.86	$124.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $63.28 / $95.97	Professional		$43.09	$63.28	$95.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $64.38 / $65.31	Professional		$64.38	$64.38	$65.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $232.18 / $657.74	Facility		$149.79	$232.18	$657.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $96.34 / $1,544.00 / $8,017.00	Facility		$96.34	$1,544.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $10.25 / $10.25 / $10.25	Facility	53	$10.25	$10.25	$10.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $72.48 / $188.42	Professional		$42.54	$72.48	$188.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,140.79 / $5,312.15 / $10,161.04	Facility		$5,140.79	$5,312.15	$10,161.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $86.50 / $107.10	Professional		$69.00	$86.50	$107.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $63.28 / $102.09	Professional		$47.26	$63.28	$102.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $43.60 / $69.75	Facility		$43.60	$43.60	$69.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $43.98 / $69.75	Professional		$42.12	$43.98	$69.75
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $59.86 / $91.33	Professional		$43.62	$59.86	$91.33