Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.50 / $2,326.00 / $6,055.05	Facility		$319.50	$2,326.00	$6,055.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.06 / $144.72 / $159.75	Facility	52	$37.06	$144.72	$159.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.82 / $14.82 / $63.90	Facility	53	$14.82	$14.82	$63.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $152.12 / $378.28	Professional		$68.03	$152.12	$378.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $121.24 / $135.50	Professional		$68.30	$121.24	$135.50
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 $153.59 / $280.35 / $324.39	Professional		$153.59	$280.35	$324.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $699.87 / $1,392.35	Facility		$320.00	$699.87	$1,392.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $181.28 / $435.99	Professional		$76.70	$181.28	$435.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $160.15	Facility		$160.15	$160.15	$160.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $331.80 / $487.71	Professional		$142.50	$331.80	$487.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.31 / $1,897.56 / $3,081.78	Facility		$813.31	$1,897.56	$3,081.78
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $876.88 / $876.88 / $1,589.76	Facility	52	$876.88	$876.88	$1,589.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $94.83 / $140.37	Professional		$81.59	$94.83	$140.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $1,978.00 / $5,868.00	Facility		$316.00	$1,978.00	$5,868.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $37.06 / $37.06 / $159.75	Facility	52	$37.06	$37.06	$159.75
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $14.82 / $14.82 / $63.90	Facility	53	$14.82	$14.82	$63.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $165.32 / $603.85	Professional		$69.76	$165.32	$603.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $1,505.27 / $1,505.27	Facility		$141.19	$1,505.27	$1,505.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $189.80 / $636.79	Professional		$95.45	$189.80	$636.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $694.37 / $1,392.35	Facility		$121.96	$694.37	$1,392.35
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $185.41 / $435.38	Professional		$76.70	$185.41	$435.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $106.49 / $275.31	Facility		$69.48	$106.49	$275.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $164.12 / $299.70	Professional		$69.48	$164.12	$299.70
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 $156.26 / $294.23 / $500.91	Professional		$156.26	$294.23	$500.91