Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $6,313.51 / $13,210.48	Facility		$657.00	$6,313.51	$13,210.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $139.78 / $141.49 / $767.04	Facility	52	$139.78	$141.49	$767.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $455.66 / $1,630.27	Professional		$207.01	$455.66	$1,630.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $115.26 / $588.40 / $797.77	Professional	52	$115.26	$588.40	$797.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.04 / $432.04 / $1,033.90	Professional		$432.04	$432.04	$1,033.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $975.35 / $1,849.06 / $2,177.21	Professional		$975.35	$1,849.06	$2,177.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,265.00 / $6,265.00 / $6,265.00	Facility		$6,265.00	$6,265.00	$6,265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $526.73 / $2,057.10	Professional		$244.09	$526.73	$2,057.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.03 / $1,802.03 / $1,862.38	Professional		$1,802.03	$1,802.03	$1,862.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,385.78 / $13,687.22 / $28,073.41	Facility		$3,385.78	$13,687.22	$28,073.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.47 / $254.37 / $396.82	Professional		$240.47	$254.37	$396.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $6,432.00 / $12,474.00	Facility		$594.00	$6,432.00	$12,474.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $139.78 / $139.78 / $767.04	Facility	52	$139.78	$139.78	$767.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $222.94 / $598.23 / $2,275.00	Professional		$222.94	$598.23	$2,275.00
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $115.32 / $561.45 / $815.14	Professional	52	$115.32	$561.45	$815.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $474.16 / $2,086.30	Professional		$235.10	$474.16	$2,086.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,265.00 / $6,265.00 / $6,265.00	Facility		$6,265.00	$6,265.00	$6,265.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.42 / $517.66 / $1,971.22	Professional		$251.42	$517.66	$1,971.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $231.02 / $244.29 / $1,280.75	Facility		$231.02	$244.29	$1,280.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $244.29 / $1,261.28	Professional		$231.02	$244.29	$1,261.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.13 / $1,489.19 / $2,491.69	Professional		$1,201.13	$1,489.19	$2,491.69