Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.27 / $3,201.12 / $8,201.67	Facility		$490.27	$3,201.12	$8,201.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.83 / $721.59 / $3,831.69	Facility	52	$114.83	$721.59	$3,831.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.64 / $337.60 / $1,589.25	Professional		$205.64	$337.60	$1,589.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $333.37 / $409.62	Professional		$158.24	$333.37	$409.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,011.00 / $1,460.61 / $1,969.41	Professional		$1,011.00	$1,460.61	$1,969.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $510.00 / $1,905.85	Professional		$245.77	$510.00	$1,905.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.03 / $1,863.82 / $1,937.55	Professional		$1,406.03	$1,863.82	$1,937.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.84 / $7,300.98 / $14,482.54	Facility		$1,624.84	$7,300.98	$14,482.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.19 / $261.19 / $261.19	Professional		$261.19	$261.19	$261.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $521.75 / $2,857.49 / $8,250.66	Facility		$521.75	$2,857.49	$8,250.66
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $114.83 / $3,761.71 / $3,831.69	Facility	52	$114.83	$3,761.71	$3,831.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $209.48 / $434.05 / $2,121.46	Professional		$209.48	$434.05	$2,121.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,018.20 / $3,627.90	Professional		$6.00	$1,018.20	$3,627.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $561.40 / $1,905.85	Professional		$245.77	$561.40	$1,905.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.04 / $261.29 / $1,202.33	Facility		$213.04	$261.29	$1,202.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $955.11 / $1,310.25	Professional		$213.04	$955.11	$1,310.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.07 / $1,266.74 / $2,136.69	Professional		$910.07	$1,266.74	$2,136.69