Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.69 / $2,118.82 / $8,451.00	Facility		$209.69	$2,118.82	$8,451.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.37 / $50.14 / $132.44	Facility	52	$49.37	$50.14	$132.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.75 / $20.05 / $52.98	Facility	53	$19.75	$20.05	$52.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $154.61 / $324.00	Professional		$82.18	$154.61	$324.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $121.87 / $121.87	Professional		$121.87	$121.87	$121.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $209.69 / $209.69	Professional		$128.66	$209.69	$209.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $200.16 / $400.48	Professional		$99.44	$200.16	$400.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $323.39 / $331.60	Professional		$323.39	$323.39	$331.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.60 / $6,363.39 / $10,531.46	Facility		$1,021.60	$6,363.39	$10,531.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $231.68 / $2,118.82 / $10,527.00	Facility		$231.68	$2,118.82	$10,527.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $49.37 / $49.37 / $132.44	Facility	52	$49.37	$49.37	$132.44
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $19.75 / $19.75 / $52.98	Facility	53	$19.75	$19.75	$52.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $180.65 / $399.96	Professional		$81.06	$180.65	$399.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $211.10 / $435.40	Professional		$78.78	$211.10	$435.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $209.69 / $387.22	Professional		$100.86	$209.69	$387.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $206.44 / $321.02	Facility		$82.18	$206.44	$321.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $203.00 / $222.10	Professional		$82.18	$203.00	$222.10
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $293.54 / $419.83	Professional		$203.67	$293.54	$419.83