Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $1,340.00 / $6,012.00	Facility		$33.36	$1,340.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,470.37 / $5,470.37 / $5,470.37	Facility	50	$5,470.37	$5,470.37	$5,470.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $55.85 / $210.02	Professional		$22.99	$55.85	$210.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Professional		$35.15	$35.15	$35.15
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 $33.03 / $52.54 / $274.70	Professional		$33.03	$52.54	$274.70
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $49.54 / $78.81 / $412.04	Professional	50	$49.54	$78.81	$412.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Facility		$41.84	$41.84	$41.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $56.98 / $289.05	Professional		$26.74	$56.98	$289.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $50.84 / $66.54	Professional		$38.52	$50.84	$66.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.94 / $1,605.95 / $2,408.77	Facility		$810.94	$1,605.95	$2,408.77
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,158.02 / $2,158.02 / $2,158.02	Facility	50	$2,158.02	$2,158.02	$2,158.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $295.60 / $295.60	Professional		$295.60	$295.60	$295.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $1,544.00 / $7,175.00	Facility		$34.83	$1,544.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $5,470.37 / $5,470.37 / $5,470.37	Facility	50	$5,470.37	$5,470.37	$5,470.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $73.20 / $249.91	Professional		$24.65	$73.20	$249.91
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $51.28 / $204.50	Professional		$27.40	$51.28	$204.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Facility		$41.84	$41.84	$41.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $54.60 / $304.29	Professional		$26.72	$54.60	$304.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $32.08 / $371.18	Facility		$23.86	$32.08	$371.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $31.36 / $180.46	Professional		$23.86	$31.36	$180.46
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $53.83 / $318.62	Professional		$33.97	$53.83	$318.62