Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,741.00 / $7,175.00	Facility		$379.00	$1,741.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $182.20 / $318.60	Professional		$67.67	$182.20	$318.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $197.50 / $323.33 / $323.33	Professional	50	$197.50	$323.33	$323.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $183.64 / $183.64	Professional		$183.64	$183.64	$183.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $181.50 / $303.75	Professional		$174.90	$181.50	$303.75
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $262.35 / $272.25 / $455.61	Professional	50	$262.35	$272.25	$455.61
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 $64.88 / $156.87 / $284.61	Professional		$64.88	$156.87	$284.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $217.98 / $281.08	Professional		$217.98	$217.98	$281.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,327.01 / $1,425.23 / $1,725.73	Facility		$1,327.01	$1,425.23	$1,725.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $221.97 / $238.63	Professional		$109.22	$221.97	$238.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,266.00 / $8,017.00	Facility		$540.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $199.01 / $650.23	Professional		$71.04	$199.01	$650.23
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $197.50 / $323.33 / $323.33	Professional	50	$197.50	$323.33	$323.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $229.80 / $229.80	Professional		$229.80	$229.80	$229.80
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 $63.95 / $153.97 / $278.54	Professional		$63.95	$153.97	$278.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $114.74 / $238.84	Facility		$66.13	$114.74	$238.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $175.61 / $238.84	Professional		$66.13	$175.61	$238.84
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 $167.80 / $211.50 / $349.37	Professional		$167.80	$211.50	$349.37