Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $133.40 / $2,747.00	Facility		$51.92	$133.40	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $19.46 / $52.02	Professional		$11.98	$19.46	$52.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.62 / $37.46 / $98.07	Professional	50	$19.62	$37.46	$98.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.54 / $7.01 / $38.29	Professional	52	$6.54	$7.01	$38.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.61 / $2.80 / $15.32	Professional	53	$2.61	$2.80	$15.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $22.93 / $28.18	Professional		$11.68	$22.93	$28.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $34.40 / $42.27 / $42.27	Professional	50	$34.40	$42.27	$42.27
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 $14.94 / $21.25 / $24.42	Professional		$14.94	$21.25	$24.42
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $22.40 / $31.87 / $36.65	Professional	50	$22.40	$31.87	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $18.32 / $28.25	Professional		$14.11	$18.32	$28.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $25.01 / $25.77	Professional		$18.78	$25.01	$25.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $116.56 / $274.32	Facility		$26.75	$116.56	$274.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $953.00 / $5,868.00	Facility		$55.52	$953.00	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $21.00 / $49.21	Professional		$12.35	$21.00	$49.21
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $19.82 / $38.47 / $97.50	Professional	50	$19.82	$38.47	$97.50
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $6.54 / $7.52 / $38.29	Professional	52	$6.54	$7.52	$38.29
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $2.61 / $3.01 / $15.32	Professional	53	$2.61	$3.01	$15.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $207.84 / $214.77 / $819.61	Facility		$207.84	$214.77	$819.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $15.20 / $41.80	Professional		$14.50	$15.20	$41.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $18.55 / $30.12	Professional		$14.30	$18.55	$30.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $14.53 / $14.53	Facility		$13.20	$14.53	$14.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $14.53 / $16.01	Professional		$13.20	$14.53	$16.01
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 $12.43 / $17.60 / $28.61	Professional		$12.43	$17.60	$28.61