Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.05 / $954.16 / $2,747.00	Facility		$346.05	$954.16	$2,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $153.18 / $156.12 / $173.03	Facility	52	$153.18	$156.12	$173.03
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.17 / $259.54 / $490.73	Facility	54	$234.17	$259.54	$490.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $311.82 / $564.05	Professional		$260.14	$311.82	$564.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $398.71 / $410.83	Professional		$398.71	$398.71	$410.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $845.00 / $1,359.00 / $8,459.92	Facility		$845.00	$1,359.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $344.11 / $396.20 / $579.04	Professional		$344.11	$396.20	$579.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.77 / $523.77 / $523.77	Facility		$523.77	$523.77	$523.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $362.00 / $609.12	Professional		$269.63	$362.00	$609.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.81 / $556.02 / $711.30	Professional		$411.81	$556.02	$711.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.95 / $613.87 / $1,447.82	Facility		$350.95	$613.87	$1,447.82
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $166.15 / $166.15 / $166.15	Facility	52	$166.15	$166.15	$166.15
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $445.57 / $782.48 / $1,783.35	Facility	54	$445.57	$782.48	$1,783.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.94 / $241.15 / $326.74	Professional		$233.94	$241.15	$326.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $903.70 / $4,123.00	Facility		$379.00	$903.70	$4,123.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $156.12 / $156.12 / $173.03	Facility	52	$156.12	$156.12	$173.03
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $234.17 / $401.66 / $1,652.15	Facility	54	$234.17	$401.66	$1,652.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $268.49 / $390.68 / $800.00	Professional		$268.49	$390.68	$800.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.80 / $363.80 / $686.80	Professional		$363.80	$363.80	$686.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $523.77 / $523.77 / $523.77	Facility		$523.77	$523.77	$523.77
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $372.04 / $613.24	Professional		$275.64	$372.04	$613.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $261.07 / $298.55 / $330.16	Facility		$261.07	$298.55	$330.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.48 / $321.95 / $353.29	Professional		$290.48	$321.95	$353.29
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $366.86 / $626.38	Professional		$271.16	$366.86	$626.38