Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $623.04 / $4,211.00	Facility		$101.75	$623.04	$4,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $99.76 / $176.38	Professional		$46.76	$99.76	$176.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $276.95 / $927.00	Professional	50	$54.53	$276.95	$927.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $79.48 / $79.48	Professional		$79.48	$79.48	$79.48
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 $108.98 / $113.09 / $234.00	Professional		$108.98	$113.09	$234.00
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $163.47 / $198.58 / $350.96	Professional	50	$163.47	$198.58	$350.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $107.34 / $203.91	Professional		$56.30	$107.34	$203.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $179.22 / $228.40	Professional		$132.22	$179.22	$228.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.27 / $720.75 / $1,153.61	Facility		$408.27	$720.75	$1,153.61
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $583.92 / $583.92 / $2,672.57	Facility	50	$583.92	$583.92	$2,672.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $882.01 / $5,627.00	Facility		$101.75	$882.01	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $106.93 / $252.47	Professional		$49.58	$106.93	$252.47
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $276.95 / $927.00	Professional	50	$54.53	$276.95	$927.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $120.70 / $240.30	Professional		$49.99	$120.70	$240.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $111.47 / $207.47	Professional		$56.16	$111.47	$207.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $78.73 / $137.49	Facility		$48.95	$78.73	$137.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $105.62 / $116.50	Professional		$48.95	$105.62	$116.50
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $139.55 / $205.54	Professional		$104.99	$139.55	$205.54