Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.23 / $2,747.00 / $7,763.00	Facility		$602.23	$2,747.00	$7,763.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $197.24 / $218.59 / $218.59	Facility	52	$197.24	$218.59	$218.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.88 / $434.66 / $900.68	Professional		$381.88	$434.66	$900.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.83 / $415.63 / $797.66	Professional		$398.83	$415.63	$797.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $422.76 / $438.71 / $438.71	Professional		$422.76	$438.71	$438.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $480.35 / $480.35	Facility		$480.35	$480.35	$480.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.85 / $530.58 / $864.23	Professional		$407.85	$530.58	$864.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $494.21 / $661.69 / $853.63	Professional		$494.21	$661.69	$853.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,051.11 / $7,644.26 / $27,931.90	Facility		$6,051.11	$7,644.26	$27,931.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.37 / $429.62 / $496.93	Professional		$402.37	$429.62	$496.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,775.20 / $8,017.00	Facility		$652.00	$2,775.20	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $218.59 / $218.59 / $218.59	Facility	52	$218.59	$218.59	$218.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $384.17 / $474.30 / $1,149.58	Professional		$384.17	$474.30	$1,149.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $566.62 / $609.79 / $866.80	Professional		$566.62	$609.79	$866.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $480.35 / $480.35	Facility		$480.35	$480.35	$480.35
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.86 / $538.41 / $894.55	Professional		$407.86	$538.41	$894.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $412.23 / $412.23 / $525.26	Facility		$412.23	$412.23	$525.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $399.99 / $413.91 / $525.26	Professional		$399.99	$413.91	$525.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $528.07 / $810.27	Professional		$412.59	$528.07	$810.27