Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $379.99 / $6,012.00	Facility		$31.29	$379.99	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $44.89 / $133.82	Professional		$28.58	$44.89	$133.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $333.00 / $333.00 / $333.00	Professional	50	$333.00	$333.00	$333.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $32.31 / $32.31	Professional		$32.31	$32.31	$32.31
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 $28.24 / $41.76 / $101.91	Professional		$28.24	$41.76	$101.91
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $42.36 / $61.29 / $152.85	Professional	50	$42.36	$61.29	$152.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $44.93 / $75.17	Professional		$25.64	$44.93	$75.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $42.71	Professional		$33.11	$33.11	$42.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $192.41 / $577.77	Facility		$149.94	$192.41	$577.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $34.64 / $48.46	Professional		$32.29	$34.64	$48.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $123.33 / $750.84 / $8,017.00	Facility		$123.33	$750.84	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $44.05 / $155.08	Professional		$28.57	$44.05	$155.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $333.00 / $333.00 / $333.00	Professional	50	$333.00	$333.00	$333.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.60 / $212.60 / $212.60	Professional		$212.60	$212.60	$212.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $43.07 / $73.53	Professional		$23.32	$43.07	$73.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $28.82 / $59.44	Facility		$28.27	$28.82	$59.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.82 / $48.87	Professional		$28.24	$28.82	$48.87
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $46.96 / $71.26	Professional		$35.13	$46.96	$71.26