Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $1,777.00 / $7,175.00	Facility		$268.00	$1,777.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $74.68 / $114.45	Professional		$45.98	$74.68	$114.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $274.57 / $274.57 / $274.57	Professional	50	$274.57	$274.57	$274.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $51.27 / $51.27	Professional		$51.27	$51.27	$51.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,688.00 / $5,296.01	Facility		$2,299.82	$2,688.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $52.09 / $174.60	Professional		$50.19	$52.09	$174.60
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $75.29 / $78.13 / $261.89	Professional	50	$75.29	$78.13	$261.89
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 $40.24 / $73.73 / $129.33	Professional		$40.24	$73.73	$129.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $59.71 / $77.00	Professional		$59.71	$59.71	$77.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.03 / $401.26 / $1,984.85	Facility		$206.03	$401.26	$1,984.85
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,552.40 / $2,552.40 / $2,552.40	Facility	50	$2,552.40	$2,552.40	$2,552.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $62.37 / $82.75	Professional		$58.54	$62.37	$82.75
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.88 / $92.88 / $144.04	Professional	50	$92.88	$92.88	$144.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $2,070.00 / $7,799.00	Facility		$590.65	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $75.62 / $220.74	Professional		$46.35	$75.62	$220.74
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $274.57 / $274.57 / $274.57	Professional	50	$274.57	$274.57	$274.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $62.30 / $73.38	Professional		$62.30	$62.30	$73.38
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 $40.24 / $70.83 / $129.35	Professional		$40.24	$70.83	$129.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $50.02 / $80.97	Facility		$45.60	$50.02	$80.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $49.83 / $80.97	Professional		$45.50	$49.83	$80.97
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 $57.74 / $76.81 / $122.33	Professional		$57.74	$76.81	$122.33