Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $988.00 / $5,750.00	Facility		$76.34	$988.00	$5,750.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.28 / $19.28 / $126.89	Facility	52	$19.28	$19.28	$126.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $191.19 / $294.52	Professional		$35.07	$191.19	$294.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $185.84 / $218.64 / $370.24	Professional		$185.84	$218.64	$370.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.41 / $371.79 / $1,113.00	Facility		$185.41	$371.79	$1,113.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $210.41 / $401.36	Professional		$40.65	$210.41	$401.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $82.74 / $82.74	Facility		$82.74	$82.74	$82.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $345.53 / $438.04	Professional		$260.11	$345.53	$438.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.80 / $660.53 / $1,152.90	Facility		$350.80	$660.53	$1,152.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $38.65 / $259.12	Professional		$35.96	$38.65	$259.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $215.40 / $1,293.93 / $6,432.00	Facility		$215.40	$1,293.93	$6,432.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $19.28 / $19.28 / $126.89	Facility	52	$19.28	$19.28	$126.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $205.30 / $463.35	Professional		$36.68	$205.30	$463.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.30 / $275.30 / $275.30	Facility		$275.30	$275.30	$275.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $275.30 / $643.40	Professional		$4.00	$275.30	$643.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $491.00 / $1,404.00	Facility		$64.27	$491.00	$1,404.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $211.02 / $405.98	Professional		$40.65	$211.02	$405.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $42.77 / $236.47	Facility		$36.06	$42.77	$236.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $214.55 / $237.97	Professional		$36.06	$214.55	$237.97
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $512.00 / $3,000.00	Facility		$89.00	$512.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $252.91 / $430.16	Professional		$198.53	$252.91	$430.16