Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.51 / $1,199.64 / $5,687.15	Facility		$158.51	$1,199.64	$5,687.15
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.24 / $121.62 / $1,629.04	Facility	52	$23.24	$121.62	$1,629.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $118.43 / $261.43	Professional		$40.50	$118.43	$261.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $65.84 / $79.11	Professional		$38.63	$65.84	$79.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $204.14 / $335.09	Professional		$103.94	$204.14	$335.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $102.63 / $324.13	Professional		$43.90	$102.63	$324.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $309.45 / $409.59	Professional		$239.43	$309.45	$409.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.27 / $1,126.40 / $2,670.69	Facility		$344.27	$1,126.40	$2,670.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $70.81 / $406.90	Professional		$44.43	$70.81	$406.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $1,499.00 / $5,917.14	Facility		$160.96	$1,499.00	$5,917.14
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $23.24 / $121.62 / $1,629.04	Facility	52	$23.24	$121.62	$1,629.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $130.18 / $415.94	Professional		$43.04	$130.18	$415.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $540.29 / $597.70	Professional		$273.10	$540.29	$597.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $73.43 / $73.43	Facility		$46.28	$73.43	$73.43
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $112.54 / $319.00	Professional		$44.49	$112.54	$319.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $174.79 / $270.58	Facility		$42.69	$174.79	$270.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $201.24 / $222.59	Professional		$42.69	$201.24	$222.59
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.82 / $239.23 / $401.68	Professional		$195.82	$239.23	$401.68