Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.54 / $1,544.00 / $6,012.00	Facility		$474.54	$1,544.00	$6,012.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.93 / $60.93 / $277.77	Facility	52	$60.93	$60.93	$277.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $181.56 / $618.12	Professional		$114.68	$181.56	$618.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $161.15 / $161.15	Professional		$161.15	$161.15	$161.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $457.28 / $474.54 / $655.04	Professional		$457.28	$474.54	$655.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $897.93 / $1,783.25	Facility		$320.00	$897.93	$1,783.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $238.65 / $836.18	Professional		$125.76	$238.65	$836.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $256.70 / $256.70 / $256.70	Facility		$256.70	$256.70	$256.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.12 / $743.52 / $949.99	Professional		$557.12	$743.52	$949.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.22 / $3,100.07 / $4,098.62	Facility		$1,485.22	$3,100.07	$4,098.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $135.34 / $135.34	Professional		$135.34	$135.34	$135.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $1,932.16 / $7,197.00	Facility		$536.00	$1,932.16	$7,197.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $60.93 / $60.93 / $277.77	Facility	52	$60.93	$60.93	$277.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $430.67 / $984.77	Professional		$119.52	$430.67	$984.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $195.60 / $195.60 / $195.60	Facility		$195.60	$195.60	$195.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $291.60 / $1,106.80	Professional		$152.06	$291.60	$1,106.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $795.00 / $1,696.86	Facility		$197.32	$795.00	$1,696.86
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $243.24 / $830.04	Professional		$127.45	$243.24	$830.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $113.71 / $162.72 / $474.77	Facility		$113.71	$162.72	$474.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $162.72 / $516.73	Professional		$113.71	$162.72	$516.73
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 $161.90 / $542.42 / $1,000.86	Professional		$161.90	$542.42	$1,000.86