Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $2,747.00 / $8,113.00	Facility		$108.22	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $111.77 / $189.99	Professional		$90.15	$111.77	$189.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $289.37 / $289.37 / $289.37	Professional	50	$289.37	$289.37	$289.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $122.36 / $122.36	Professional		$122.36	$122.36	$122.36
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 $113.01 / $117.27 / $207.79	Professional		$113.01	$117.27	$207.79
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $169.51 / $175.91 / $311.68	Professional	50	$169.51	$175.91	$311.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $116.27 / $208.69	Professional		$86.96	$116.27	$208.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $136.36 / $175.84	Professional		$136.36	$136.36	$175.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.91 / $141.13 / $177.83	Professional		$123.91	$141.13	$177.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,996.65 / $8,247.00	Facility		$540.00	$3,996.65	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $117.89 / $321.41	Professional		$94.50	$117.89	$321.41
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $289.37 / $289.37 / $289.37	Professional	50	$289.37	$289.37	$289.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $273.89 / $273.89	Professional		$273.89	$273.89	$273.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $116.82 / $190.89	Professional		$86.96	$116.82	$190.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $110.73 / $359.47	Facility		$97.14	$110.73	$359.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $110.02 / $359.47	Professional		$96.73	$110.02	$359.47
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 $101.22 / $131.82 / $239.78	Professional		$101.22	$131.82	$239.78