Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $1,333.93 / $4,524.14	Facility		$183.41	$1,333.93	$4,524.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.17 / $102.42 / $989.00	Facility	52	$29.17	$102.42	$989.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.67 / $40.97 / $1,109.58	Facility	53	$11.67	$40.97	$1,109.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $122.21 / $295.31	Professional		$54.86	$122.21	$295.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $68.95 / $86.68	Professional		$25.41	$68.95	$86.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $2,657.00 / $8,459.92	Facility		$1,524.00	$2,657.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $185.89 / $307.55	Professional		$128.77	$185.89	$307.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.08 / $356.00 / $795.00	Facility		$211.08	$356.00	$795.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $148.40 / $295.22	Professional		$59.43	$148.40	$295.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $126.48 / $126.48	Facility		$126.48	$126.48	$126.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $219.86 / $323.30	Professional		$116.03	$219.86	$323.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.71 / $1,857.48 / $3,442.74	Facility		$333.71	$1,857.48	$3,442.74
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $689.20 / $689.20 / $1,604.29	Facility	52	$689.20	$689.20	$1,604.29
Highmark BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $4,086.55 / $4,086.55 / $4,086.55	Facility	53	$4,086.55	$4,086.55	$4,086.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $73.90 / $237.59	Professional		$65.72	$73.90	$237.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.24 / $1,544.00 / $5,750.00	Facility		$173.24	$1,544.00	$5,750.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $29.17 / $989.00 / $2,571.09	Facility	52	$29.17	$989.00	$2,571.09
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $11.67 / $40.97 / $1,109.58	Facility	53	$11.67	$40.97	$1,109.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $137.25 / $405.51	Professional		$54.87	$137.25	$405.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $116.30 / $1,464.08 / $1,464.08	Facility		$116.30	$1,464.08	$1,464.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $139.00 / $407.30	Professional		$76.55	$139.00	$407.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $343.00 / $1,113.00	Facility		$95.68	$343.00	$1,113.00
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $148.75 / $295.22	Professional		$59.43	$148.75	$295.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.28 / $76.73 / $178.85	Facility		$54.28	$76.73	$178.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $124.81 / $194.42	Professional		$54.28	$124.81	$194.42
United Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,090.00 / $3,742.00	Facility		$316.00	$1,090.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $187.44 / $319.11	Professional		$121.93	$187.44	$319.11