Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $2,747.00 / $8,113.00	Facility		$38.61	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $50.46 / $84.87	Professional		$35.78	$50.46	$84.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.32 / $94.47 / $115.50	Professional	50	$53.32	$94.47	$115.50
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 $37.76 / $55.25 / $141.13	Professional		$37.76	$55.25	$141.13
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $56.64 / $85.25 / $211.75	Professional	50	$56.64	$85.25	$211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $53.83 / $89.71	Professional		$30.73	$53.83	$89.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $44.39 / $57.25	Professional		$44.39	$44.39	$57.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $387.55 / $2,173.92	Facility		$206.88	$387.55	$2,173.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $46.14 / $76.16	Professional		$43.90	$46.14	$76.16
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.20 / $69.20 / $70.16	Professional	50	$69.20	$69.20	$70.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $3,964.00 / $8,427.00	Facility		$379.00	$3,964.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $51.38 / $148.31	Professional		$36.72	$51.38	$148.31
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $53.32 / $94.47 / $115.50	Professional	50	$53.32	$94.47	$115.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $226.10 / $226.10	Professional		$54.17	$226.10	$226.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $49.87 / $89.15	Professional		$30.28	$49.87	$89.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $37.39 / $72.62	Facility		$34.86	$37.39	$72.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $37.39 / $58.85	Professional		$34.78	$37.39	$58.85
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 $42.85 / $56.71 / $89.58	Professional		$42.85	$56.71	$89.58