Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $1,254.00 / $4,006.43	Facility		$129.75	$1,254.00	$4,006.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.90 / $64.88 / $672.74	Facility	52	$30.90	$64.88	$672.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $122.80 / $307.70	Professional		$60.86	$122.80	$307.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $121.46 / $216.30	Professional		$121.46	$121.46	$216.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $142.25 / $147.62 / $148.91	Professional		$142.25	$147.62	$148.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $110.27	Facility		$110.27	$110.27	$110.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $134.19 / $240.72	Professional		$69.84	$134.19	$240.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $231.71 / $296.02	Professional		$171.38	$231.71	$296.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $815.57 / $1,816.85 / $3,320.62	Facility		$815.57	$1,816.85	$3,320.62
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $752.85 / $752.85 / $752.85	Facility	52	$752.85	$752.85	$752.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $1,486.33 / $4,264.00	Facility		$142.72	$1,486.33	$4,264.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $30.90 / $64.88 / $672.74	Facility	52	$30.90	$64.88	$672.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $137.16 / $342.02	Professional		$61.79	$137.16	$342.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $181.30 / $334.00	Professional		$171.00	$181.30	$334.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $110.27	Facility		$110.27	$110.27	$110.27
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $134.69 / $246.12	Professional		$69.84	$134.69	$246.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.37 / $128.38 / $238.24	Facility		$61.37	$128.38	$238.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $125.60 / $154.27	Professional		$61.37	$125.60	$154.27
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $191.79 / $274.52	Professional		$137.16	$191.79	$274.52