Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $1,234.00 / $5,750.00	Facility		$86.16	$1,234.00	$5,750.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,736.70 / $1,736.70 / $2,936.70	Facility	50	$1,736.70	$1,736.70	$2,936.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $91.06 / $168.24	Professional		$54.53	$91.06	$168.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $524.54	Professional	50	$91.74	$91.74	$524.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $104.11 / $104.11	Professional		$104.11	$104.11	$104.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $100.10 / $171.70	Professional		$96.46	$100.10	$171.70
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $142.66 / $171.70 / $235.76	Professional	50	$142.66	$171.70	$235.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $100.02 / $100.02	Facility		$100.02	$100.02	$100.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $109.25 / $211.23	Professional		$62.03	$109.25	$211.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $152.38 / $197.73	Professional		$114.48	$152.38	$197.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $948.23 / $1,829.48	Facility		$643.16	$948.23	$1,829.48
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,462.77 / $1,462.77 / $1,678.63	Facility	50	$1,462.77	$1,462.77	$1,678.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $108.57 / $192.79	Professional		$108.57	$108.57	$192.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $1,357.00 / $5,958.00	Facility		$83.79	$1,357.00	$5,958.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $879.26 / $1,736.70 / $3,248.00	Facility	50	$879.26	$1,736.70	$3,248.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $113.48 / $253.14	Professional		$57.72	$113.48	$253.14
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $524.54	Professional	50	$91.74	$91.74	$524.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $147.19 / $212.70	Professional		$54.24	$147.19	$212.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $100.02 / $100.02	Facility		$100.02	$100.02	$100.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $109.25 / $211.23	Professional		$63.14	$109.25	$211.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $94.37 / $266.30	Facility		$57.06	$94.37	$266.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $92.61 / $117.33	Professional		$57.06	$92.61	$117.33
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $148.38 / $226.96	Professional		$98.63	$148.38	$226.96