Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.64 / $2,747.00 / $7,175.00	Facility		$315.64	$2,747.00	$7,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.84 / $103.84 / $351.23	Facility	52	$103.84	$103.84	$351.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $307.01 / $1,009.23	Professional		$197.56	$307.01	$1,009.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $187.45 / $285.83	Professional		$88.44	$187.45	$285.83
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 $585.77 / $607.87 / $607.87	Professional		$585.77	$607.87	$607.87
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 $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $397.72 / $1,043.91	Professional		$214.12	$397.72	$1,043.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $435.65 / $435.65 / $435.65	Facility		$435.65	$435.65	$435.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $713.55 / $1,047.93	Professional		$237.50	$713.55	$1,047.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,352.51 / $4,270.97 / $8,204.70	Facility		$2,352.51	$4,270.97	$8,204.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.45 / $246.66 / $385.11	Professional		$229.45	$246.66	$385.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,543.00 / $7,197.00	Facility		$540.00	$2,543.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $103.84 / $103.84 / $351.23	Facility	52	$103.84	$103.84	$351.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $432.18 / $1,179.00	Professional		$204.27	$432.18	$1,179.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $319.30 / $319.30 / $319.30	Facility		$319.30	$319.30	$319.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $211.03 / $463.40 / $1,394.60	Professional		$211.03	$463.40	$1,394.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $1,225.90 / $2,316.65	Facility		$336.48	$1,225.90	$2,316.65
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $397.72 / $1,017.31	Professional		$217.69	$397.72	$1,017.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $238.43 / $604.95	Facility		$193.30	$238.43	$604.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $380.37 / $655.41	Professional		$193.30	$380.37	$655.41
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,728.00 / $3,742.00	Facility		$553.00	$1,728.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.24 / $672.46 / $1,242.13	Professional		$275.24	$672.46	$1,242.13