Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $345.74 / $5,350.00	Facility		$68.63	$345.74	$5,350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $66.03 / $118.55	Professional		$49.13	$66.03	$118.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $62.55 / $101.81	Professional		$55.56	$62.55	$101.81
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 $66.30 / $92.96 / $155.12	Professional		$66.30	$92.96	$155.12
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $99.45 / $141.13 / $232.68	Professional	50	$99.45	$141.13	$232.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $66.72 / $119.48	Professional		$47.58	$66.72	$119.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $79.44 / $102.44	Professional		$79.44	$79.44	$102.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.41 / $379.46 / $696.95	Facility		$261.41	$379.46	$696.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $82.88 / $105.11	Professional		$76.75	$82.88	$105.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $594.00 / $7,799.00	Facility		$72.63	$594.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $68.09 / $139.52	Professional		$49.13	$68.09	$139.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $229.90 / $229.90	Professional		$94.14	$229.90	$229.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $65.68 / $111.51	Professional		$45.94	$65.68	$111.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $62.88 / $80.20	Facility		$48.35	$62.88	$80.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $63.16 / $69.14	Professional		$48.14	$63.16	$69.14
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 $62.46 / $77.66 / $128.19	Professional		$62.46	$77.66	$128.19