Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.39 / $1,863.02 / $5,555.55	Facility		$457.39	$1,863.02	$5,555.55
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.82 / $209.29 / $228.70	Facility	52	$85.82	$209.29	$228.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $269.25 / $683.50	Professional		$153.37	$269.25	$683.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $200.67 / $308.76	Professional		$100.33	$200.67	$308.76
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 $393.44 / $408.29 / $408.29	Professional		$393.44	$408.29	$408.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $774.37 / $1,504.84	Facility		$429.00	$774.37	$1,504.84
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $310.91 / $698.55	Professional		$173.80	$310.91	$698.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $361.75 / $361.75 / $361.75	Facility		$361.75	$361.75	$361.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $477.17 / $677.62	Professional		$207.19	$477.17	$677.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.30 / $1,443.93 / $3,220.38	Facility		$580.30	$1,443.93	$3,220.38
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $2,706.30 / $2,706.30 / $2,706.30	Facility	52	$2,706.30	$2,706.30	$2,706.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $220.15 / $338.71	Professional		$190.78	$220.15	$338.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $457.38 / $1,863.02 / $5,474.00	Facility		$457.38	$1,863.02	$5,474.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $85.82 / $228.70 / $633.10	Facility	52	$85.82	$228.70	$633.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $379.40 / $836.00	Professional		$154.38	$379.40	$836.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $234.70 / $234.70	Facility		$234.70	$234.70	$234.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $332.70 / $905.20	Professional		$228.48	$332.70	$905.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $760.00 / $1,865.00	Facility		$278.89	$760.00	$1,865.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $319.95 / $680.71	Professional		$176.70	$319.95	$680.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $160.26 / $197.71 / $399.28	Facility		$160.26	$197.71	$399.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $160.26 / $275.44 / $430.95	Professional		$160.26	$275.44	$430.95
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 $183.66 / $400.77 / $753.70	Professional		$183.66	$400.77	$753.70