Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $1,544.00 / $6,432.00	Facility		$139.57	$1,544.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $114.39 / $220.53	Professional		$56.56	$114.39	$220.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $625.00	Professional	50	$144.25	$144.25	$625.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $141.59 / $141.59	Professional		$118.67	$141.59	$141.59
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 $130.44 / $148.19 / $212.47	Professional		$130.44	$148.19	$212.47
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $195.68 / $222.29 / $318.70	Professional	50	$195.68	$222.29	$318.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $105.08	Facility		$105.08	$105.08	$105.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $119.57 / $222.38	Professional		$66.75	$119.57	$222.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $207.39 / $269.33	Professional		$118.59	$207.39	$269.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,601.03 / $1,601.03 / $1,601.03	Facility		$1,601.03	$1,601.03	$1,601.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $61.27 / $127.60	Professional		$60.47	$61.27	$127.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $195.86 / $1,741.00 / $7,799.00	Facility		$195.86	$1,741.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $122.20 / $361.60	Professional		$58.51	$122.20	$361.60
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $625.00	Professional	50	$144.25	$144.25	$625.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $214.70 / $283.80	Professional		$77.05	$214.70	$283.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $105.08	Facility		$105.08	$105.08	$105.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $119.98 / $225.70	Professional		$66.75	$119.98	$225.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $103.63 / $263.91	Facility		$59.84	$103.63	$263.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $127.60 / $139.22	Professional		$59.84	$127.60	$139.22
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 $118.66 / $171.19 / $258.35	Professional		$118.66	$171.19	$258.35