Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $988.00 / $3,811.37	Facility		$77.64	$988.00	$3,811.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $300.44 / $897.76 / $4,349.45	Facility	50	$300.44	$897.76	$4,349.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $78.48 / $190.16	Professional		$40.22	$78.48	$190.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.54 / $243.67 / $502.50	Professional	50	$48.54	$243.67	$502.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $63.40 / $100.21	Professional		$38.52	$63.40	$100.21
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 $72.43 / $118.67 / $199.95	Professional		$72.43	$118.67	$199.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $108.64 / $178.01 / $293.38	Professional	50	$108.64	$178.01	$293.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Facility		$70.36	$70.36	$70.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $83.53 / $145.86	Professional		$46.68	$83.53	$145.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $114.43 / $148.83	Professional		$86.16	$114.43	$148.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.29 / $1,387.34 / $2,905.29	Facility		$468.29	$1,387.34	$2,905.29
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,343.86 / $3,761.86 / $6,269.74	Facility	50	$1,343.86	$3,761.86	$6,269.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $90.27 / $109.68	Professional		$77.55	$90.27	$109.68
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.35 / $125.19 / $137.69	Professional	50	$118.35	$125.19	$137.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $1,246.82 / $4,211.00	Facility		$72.86	$1,246.82	$4,211.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $300.44 / $2,639.00 / $5,430.95	Facility	50	$300.44	$2,639.00	$5,430.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $82.13 / $190.16	Professional		$41.38	$82.13	$190.16
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $44.27 / $223.67 / $502.50	Professional	50	$44.27	$223.67	$502.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $114.39 / $155.50	Professional		$38.95	$114.39	$155.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Facility		$70.36	$70.36	$70.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $83.71 / $148.52	Professional		$45.95	$83.71	$148.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $70.58 / $111.14	Facility		$40.83	$70.58	$111.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $71.14 / $77.54	Professional		$40.83	$71.14	$77.54
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 $75.16 / $108.77 / $151.07	Professional		$75.16	$108.77	$151.07