Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $379.99 / $3,839.00	Facility		$74.43	$379.99	$3,839.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,066.01 / $1,066.01 / $1,529.00	Facility	50	$1,066.01	$1,066.01	$1,529.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $105.31 / $247.57	Professional		$48.22	$105.31	$247.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.75 / $373.65 / $647.20	Professional	50	$183.75	$373.65	$647.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $89.98 / $89.98	Professional		$89.98	$89.98	$89.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $126.21 / $260.58	Professional		$72.38	$126.21	$260.58
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $118.25 / $190.56 / $390.85	Professional	50	$118.25	$190.56	$390.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $93.98 / $183.69	Professional		$51.63	$93.98	$183.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $126.37 / $128.34	Professional		$95.19	$126.37	$128.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.32 / $324.41 / $577.77	Facility		$154.32	$324.41	$577.77
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
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $428.48 / $6,432.00	Facility		$70.89	$428.48	$6,432.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,066.01 / $1,066.01 / $1,529.00	Facility	50	$1,066.01	$1,066.01	$1,529.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $106.91 / $247.57	Professional		$50.32	$106.91	$247.57
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $138.29 / $373.65 / $647.20	Professional	50	$138.29	$373.65	$647.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $94.20 / $290.10	Professional		$4.00	$94.20	$290.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $94.69 / $199.19	Professional		$53.99	$94.69	$199.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $76.12 / $117.49	Facility		$46.23	$76.12	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $76.31 / $83.44	Professional		$46.23	$76.31	$83.44
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $101.15 / $168.98	Professional		$75.03	$101.15	$168.98