Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.89 / $2,070.00 / $7,368.40	Facility		$242.89	$2,070.00	$7,368.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.65 / $26.65 / $67.58	Facility	53	$26.65	$26.65	$67.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $280.14 / $776.53	Professional		$133.25	$280.14	$776.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $613.11 / $613.11 / $613.11	Professional		$613.11	$613.11	$613.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $5,951.00 / $8,887.00	Facility		$2,800.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $342.30 / $342.30	Professional		$329.85	$342.30	$342.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $311.18 / $594.34	Professional		$179.33	$311.18	$594.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $401.48 / $533.46 / $542.53	Professional		$401.48	$533.46	$542.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.00 / $7,618.17 / $13,646.36	Facility		$1,222.00	$7,618.17	$13,646.36
Highmark BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $11,004.62 / $11,004.62 / $11,004.62	Facility	53	$11,004.62	$11,004.62	$11,004.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $308.50 / $2,422.00 / $7,799.00	Facility		$308.50	$2,422.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $26.65 / $26.65 / $67.58	Facility	53	$26.65	$26.65	$67.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $308.16 / $860.56	Professional		$161.43	$308.16	$860.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $291.89 / $997.50	Professional		$4.00	$291.89	$997.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $321.12 / $594.34	Professional		$181.83	$321.12	$594.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $232.29 / $352.45	Facility		$148.21	$232.29	$352.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $302.97 / $380.27	Professional		$148.21	$302.97	$380.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $367.44 / $630.83	Professional		$256.95	$367.44	$630.83