Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.78 / $856.22 / $6,012.00	Facility		$229.78	$856.22	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $125.06 / $125.06 / $146.78	Facility	54	$125.06	$125.06	$146.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $197.62 / $462.06	Professional		$144.28	$197.62	$462.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $198.87 / $198.87	Professional		$198.87	$198.87	$198.87
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 $210.80 / $338.56 / $372.29	Professional		$210.80	$338.56	$372.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $215.66 / $386.76	Professional		$160.66	$215.66	$386.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $323.51 / $333.31	Professional		$251.62	$323.51	$333.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.98 / $986.67 / $1,600.19	Facility		$566.98	$986.67	$1,600.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $206.07 / $216.38	Professional		$175.16	$206.07	$216.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $260.44 / $979.89 / $5,526.00	Facility		$260.44	$979.89	$5,526.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $125.06 / $125.06 / $146.78	Facility	54	$125.06	$125.06	$146.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.46 / $230.21 / $529.97	Professional		$158.46	$230.21	$529.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,409.17 / $1,454.48 / $5,549.44	Facility		$1,409.17	$1,454.48	$5,549.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $208.91 / $309.19	Professional		$180.30	$208.91	$309.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $308.79 / $308.79	Facility		$308.79	$308.79	$308.79
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $216.15 / $216.15 / $216.15	Facility	54	$216.15	$216.15	$216.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $222.52 / $399.29	Professional		$168.30	$222.52	$399.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $178.23 / $206.69	Facility		$154.83	$178.23	$206.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $188.99 / $220.31	Professional		$172.00	$188.99	$220.31
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 $167.21 / $218.11 / $399.22	Professional		$167.21	$218.11	$399.22