Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.51 / $3,422.81 / $5,958.43	Facility		$570.51	$3,422.81	$5,958.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.08 / $91.08 / $333.92	Facility	52	$91.08	$91.08	$333.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $282.81 / $898.51	Professional		$168.25	$282.81	$898.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $165.49 / $250.31	Professional		$143.24	$165.49	$250.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $555.64 / $576.61 / $872.51	Professional		$555.64	$576.61	$872.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,235.59 / $2,434.58	Facility		$429.00	$1,235.59	$2,434.58
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $330.00 / $1,020.98	Professional		$178.51	$330.00	$1,020.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $386.32 / $386.32 / $386.32	Facility		$386.32	$386.32	$386.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $679.99 / $964.37	Professional		$237.50	$679.99	$964.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.91 / $4,027.10 / $7,372.10	Facility		$1,276.91	$4,027.10	$7,372.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $223.76 / $345.55	Professional		$190.81	$223.76	$345.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.98 / $2,770.80 / $7,175.00	Facility		$540.98	$2,770.80	$7,175.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $91.08 / $91.08 / $333.92	Facility	52	$91.08	$91.08	$333.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $426.03 / $1,110.70	Professional		$172.80	$426.03	$1,110.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $252.20 / $252.20 / $252.20	Facility		$252.20	$252.20	$252.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.25 / $333.80 / $1,326.10	Professional		$243.25	$333.80	$1,326.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $1,225.90 / $2,316.65	Facility		$297.07	$1,225.90	$2,316.65
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $341.92 / $980.91	Professional		$181.44	$341.92	$980.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $207.68 / $573.79	Facility		$169.74	$207.68	$573.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.74 / $348.26 / $622.61	Professional		$169.74	$348.26	$622.61
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.05 / $624.54 / $1,117.06	Professional		$213.05	$624.54	$1,117.06