Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.07 / $2,463.00 / $7,317.00	Facility		$192.07	$2,463.00	$7,317.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.64 / $68.64 / $134.02	Facility	52	$68.64	$68.64	$134.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $245.57 / $436.88	Professional		$128.74	$245.57	$436.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $98.32 / $196.64	Professional		$98.32	$98.32	$196.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $4,354.00 / $8,459.92	Facility		$1,350.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $254.58 / $339.72	Professional		$245.33	$254.58	$339.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $257.86 / $445.35	Professional		$147.47	$257.86	$445.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $389.30 / $398.65	Professional		$293.95	$389.30	$398.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,611.51 / $4,486.31 / $7,432.28	Facility		$1,611.51	$4,486.31	$7,432.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $2,605.00 / $8,017.00	Facility		$316.00	$2,605.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $68.64 / $68.64 / $134.02	Facility	52	$68.64	$68.64	$134.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $256.38 / $533.37	Professional		$129.11	$256.38	$533.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $291.10 / $722.30	Professional		$6.00	$291.10	$722.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $266.16 / $459.37	Professional		$149.09	$266.16	$459.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $239.13 / $437.74	Facility		$127.20	$239.13	$437.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $234.59 / $276.64	Professional		$127.20	$234.59	$276.64
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.68 / $310.66 / $492.74	Professional		$222.68	$310.66	$492.74