Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $1,544.00 / $8,017.00	Facility		$45.30	$1,544.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $39.93 / $65.93	Professional		$30.03	$39.93	$65.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
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 $40.64 / $42.17 / $74.18	Professional		$40.64	$42.17	$74.18
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $60.96 / $63.26 / $111.27	Professional	50	$60.96	$63.26	$111.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $41.82 / $74.23	Professional		$29.93	$41.82	$74.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $49.26 / $63.52	Professional		$49.26	$49.26	$63.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,567.53 / $1,567.53 / $1,567.53	Facility		$1,567.53	$1,567.53	$1,567.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $50.18 / $50.88	Professional		$47.44	$50.18	$50.88
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.56 / $66.56 / $66.56	Professional	50	$66.56	$66.56	$66.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,964.00 / $8,017.00	Facility		$540.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $40.61 / $134.54	Professional		$32.59	$40.61	$134.54
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $210.20 / $210.20	Professional		$76.90	$210.20	$210.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $41.33 / $66.70	Professional		$29.93	$41.33	$66.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $39.96 / $50.10	Facility		$32.69	$39.96	$50.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $39.68 / $50.10	Professional		$32.57	$39.68	$50.10
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 $37.26 / $47.61 / $80.04	Professional		$37.26	$47.61	$80.04