Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $391.83 / $7,629.00	Facility		$23.62	$391.83	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $36.04 / $67.09	Professional		$18.84	$36.04	$67.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $60.44 / $247.41	Professional	50	$14.55	$60.44	$247.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $20.54	Professional		$19.07	$19.07	$20.54
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 $18.60 / $19.30 / $71.51	Professional		$18.60	$19.30	$71.51
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $27.90 / $28.96 / $107.30	Professional	50	$27.90	$28.96	$107.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $43.18 / $70.38	Professional		$17.26	$43.18	$70.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $21.84 / $28.16	Professional		$21.84	$21.84	$28.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.57 / $299.94 / $744.15	Facility		$83.57	$299.94	$744.15
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $595.32 / $595.32 / $595.32	Facility	50	$595.32	$595.32	$595.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $22.98 / $37.09	Professional		$21.42	$22.98	$37.09
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.99 / $53.80 / $67.25	Professional	50	$33.99	$53.80	$67.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $191.65 / $1,544.00 / $8,017.00	Facility		$191.65	$1,544.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $31.59 / $113.46	Professional		$19.12	$31.59	$113.46
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $60.44 / $247.41	Professional	50	$14.55	$60.44	$247.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $98.80 / $98.80	Professional		$23.21	$98.80	$98.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $34.71 / $70.38	Professional		$16.87	$34.71	$70.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $21.26 / $104.16	Facility		$18.73	$21.26	$104.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $21.14 / $103.94	Professional		$18.73	$21.14	$103.94
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 $24.80 / $36.54 / $63.42	Professional		$24.80	$36.54	$63.42