Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.36 / $540.08 / $5,526.00	Facility		$71.36	$540.08	$5,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $85.72 / $176.83	Professional		$31.77	$85.72	$176.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.66 / $33.99 / $47.22	Professional	52	$13.66	$33.99	$47.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $136.57 / $136.57	Professional		$136.57	$136.57	$136.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $76.43 / $131.41	Professional		$64.97	$76.43	$131.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $83.37 / $149.31	Professional		$36.04	$83.37	$149.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $117.93 / $121.28	Professional		$89.00	$117.93	$121.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.50 / $605.09 / $1,334.00	Facility		$286.50	$605.09	$1,334.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $1,426.00 / $7,175.00	Facility		$97.50	$1,426.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $90.17 / $193.77	Professional		$36.53	$90.17	$193.77
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $14.75 / $33.99 / $67.09	Professional	52	$14.75	$33.99	$67.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $168.70 / $205.10	Professional		$3.00	$168.70	$205.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $84.99 / $156.76	Professional		$36.04	$84.99	$156.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $62.50 / $95.82	Facility		$29.43	$62.50	$95.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $72.16 / $79.01	Professional		$29.43	$72.16	$79.01
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $96.19 / $156.10	Professional		$73.81	$96.19	$156.10