Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $2,679.00 / $7,175.00	Facility		$382.00	$2,679.00	$7,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.09 / $91.09 / $204.58	Facility	52	$91.09	$91.09	$204.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.52 / $487.30	Professional		$154.88	$263.52	$487.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $162.79 / $162.79	Professional		$162.79	$162.79	$162.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $4,354.00 / $8,459.92	Facility		$1,824.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $450.51 / $756.32	Professional		$315.66	$450.51	$756.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.35 / $351.43 / $613.42	Professional		$195.35	$351.43	$613.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.48 / $565.11 / $583.67	Professional		$427.48	$565.11	$583.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.38 / $9,850.49 / $18,800.50	Facility		$1,536.38	$9,850.49	$18,800.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $409.16 / $2,203.19 / $8,017.00	Facility		$409.16	$2,203.19	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $91.09 / $91.09 / $204.58	Facility	52	$91.09	$91.09	$204.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $343.01 / $627.69	Professional		$108.96	$343.01	$627.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $349.40 / $1,009.20	Professional		$6.00	$349.40	$1,009.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $372.00 / $655.08	Professional		$196.21	$372.00	$655.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.66 / $358.73 / $511.23	Facility		$169.66	$358.73	$511.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $352.91 / $384.33	Professional		$169.66	$352.91	$384.33
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 $323.98 / $503.97 / $759.59	Professional		$323.98	$503.97	$759.59