Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.58 / $2,390.31 / $8,017.00	Facility		$105.58	$2,390.31	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,791.97 / $2,791.97 / $2,791.97	Facility	50	$2,791.97	$2,791.97	$2,791.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $102.25 / $157.50	Professional		$75.41	$102.25	$157.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.38 / $165.51 / $861.51	Professional	50	$100.38	$165.51	$861.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $212.63 / $212.63 / $212.63	Professional	50	$212.63	$212.63	$212.63
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 $92.32 / $95.80 / $157.26	Professional		$92.32	$95.80	$157.26
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $138.47 / $143.69 / $235.88	Professional	50	$138.47	$143.69	$235.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $102.38 / $172.17	Professional		$74.03	$102.38	$172.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $112.96 / $145.66	Professional		$112.96	$112.96	$145.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $902.98 / $1,771.42 / $1,788.64	Facility		$902.98	$1,771.42	$1,788.64
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.50 / $1,464.00 / $1,788.64	Facility	50	$0.50	$1,464.00	$1,788.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $116.52 / $143.86	Professional		$96.32	$116.52	$143.86
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.86 / $175.11 / $214.74	Professional	50	$165.86	$175.11	$214.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,964.00 / $8,247.00	Facility		$657.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,791.97 / $2,791.97 / $2,791.97	Facility	50	$2,791.97	$2,791.97	$2,791.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $106.68 / $263.82	Professional		$79.56	$106.68	$263.82
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $100.38 / $173.79 / $861.51	Professional	50	$100.38	$173.79	$861.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $269.80 / $269.80	Professional		$269.80	$269.80	$269.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $101.49 / $166.37	Professional		$72.09	$101.49	$166.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $92.25 / $136.47	Facility		$75.48	$92.25	$136.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $91.04 / $118.69	Professional		$74.36	$91.04	$118.69
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 $76.36 / $106.90 / $177.36	Professional		$76.36	$106.90	$177.36