Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $1,544.00 / $6,012.00	Facility		$104.74	$1,544.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,279.86 / $2,967.00 / $4,674.62	Facility	50	$1,279.86	$2,967.00	$4,674.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $132.41 / $372.11	Professional		$60.19	$132.41	$372.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $61.33 / $78.61	Professional		$50.43	$61.33	$78.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $300.39 / $458.99	Professional		$258.39	$300.39	$458.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $158.16 / $412.16	Professional		$69.97	$158.16	$412.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.59 / $470.43 / $620.12	Professional		$363.59	$470.43	$620.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $1,294.33 / $2,141.42	Facility		$229.98	$1,294.33	$2,141.42
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,409.87 / $1,903.40 / $2,236.39	Facility	50	$1,409.87	$1,903.40	$2,236.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $84.50 / $107.10	Professional		$77.77	$84.50	$107.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $372.11 / $1,901.00 / $7,175.00	Facility		$372.11	$1,901.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,279.86 / $3,576.44 / $4,674.62	Facility	50	$1,279.86	$3,576.44	$4,674.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $178.78 / $547.00	Professional		$64.77	$178.78	$547.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $503.60 / $581.29	Professional		$67.80	$503.60	$581.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $161.88 / $409.88	Professional		$69.50	$161.88	$409.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $73.59 / $310.66	Facility		$63.42	$73.59	$310.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $171.36 / $338.71	Professional		$63.42	$171.36	$338.71
United Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,609.36 / $3,211.00	Facility		$582.00	$1,609.36	$3,211.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $276.92 / $496.47	Professional		$165.76	$276.92	$496.47