Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.25 / $2,240.00 / $7,629.00	Facility		$244.25	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $185.41 / $334.69	Professional		$135.47	$185.41	$334.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $249.42 / $249.42 / $282.24	Professional	50	$249.42	$249.42	$282.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $104.41 / $208.82	Professional		$104.41	$104.41	$208.82
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 $209.46 / $217.36 / $359.12	Professional		$209.46	$217.36	$359.12
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $314.18 / $326.04 / $538.67	Professional	50	$314.18	$326.04	$538.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $196.73 / $331.76	Professional		$125.00	$196.73	$331.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $258.33 / $333.14	Professional		$258.33	$258.33	$333.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.91 / $1,339.91 / $1,339.91	Facility		$1,339.91	$1,339.91	$1,339.91
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,982.18 / $1,982.18 / $1,982.18	Facility	50	$1,982.18	$1,982.18	$1,982.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.97 / $264.64 / $280.49	Professional		$250.97	$264.64	$280.49
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $264.06 / $398.22 / $434.61	Professional	50	$264.06	$398.22	$434.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.30 / $213.90 / $770.26	Professional		$138.30	$213.90	$770.26
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $249.42 / $249.42 / $282.24	Professional	50	$249.42	$249.42	$282.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $281.80 / $305.38	Professional		$281.80	$281.80	$305.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $194.61 / $318.74	Professional		$126.19	$194.61	$318.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.11 / $139.55 / $301.43	Facility		$120.11	$139.55	$301.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $208.95 / $301.43	Professional		$136.88	$208.95	$301.43
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 $177.68 / $239.35 / $369.46	Professional		$177.68	$239.35	$369.46