Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,819.00 / $7,175.00	Facility		$379.00	$1,819.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $78.98 / $128.80	Professional		$61.04	$78.98	$128.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $82.83	Professional		$82.83	$82.83	$82.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $83.19 / $145.56	Professional		$80.17	$83.19	$145.56
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $120.25 / $124.79 / $218.30	Professional	50	$120.25	$124.79	$218.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $80.11 / $135.38	Professional		$59.90	$80.11	$135.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $97.08 / $125.19	Professional		$97.08	$97.08	$125.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,891.43 / $4,891.43 / $5,126.05	Facility		$4,891.43	$4,891.43	$5,126.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $99.56 / $130.88	Professional		$83.77	$99.56	$130.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,266.00 / $7,799.00	Facility		$540.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $81.33 / $343.00	Professional		$65.61	$81.33	$343.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $97.30 / $97.30	Professional		$97.30	$97.30	$97.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $80.15 / $129.54	Professional		$59.90	$80.15	$129.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $66.66 / $83.21	Facility		$66.20	$66.66	$83.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $78.51 / $83.21	Professional		$65.84	$78.51	$83.21
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $92.52 / $157.69	Professional		$71.33	$92.52	$157.69