Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.81 / $1,506.00 / $4,032.70	Facility		$250.81	$1,506.00	$4,032.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $190.60 / $363.36	Professional		$80.70	$190.60	$363.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $123.53 / $130.12	Professional		$79.23	$123.53	$130.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $220.86 / $420.66	Professional		$212.83	$220.86	$420.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $200.78 / $458.16	Professional		$98.10	$200.78	$458.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $329.81 / $440.73	Professional		$225.68	$329.81	$440.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.05 / $1,490.71 / $3,022.24	Facility		$497.05	$1,490.71	$3,022.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $94.23 / $186.12	Professional		$85.33	$94.23	$186.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $250.81 / $1,537.89 / $4,032.70	Facility		$250.81	$1,537.89	$4,032.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $206.25 / $495.19	Professional		$82.15	$206.25	$495.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $281.47 / $579.47	Professional		$100.52	$281.47	$579.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Priority Health Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $209.09 / $453.28	Professional		$96.10	$209.09	$453.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $100.89 / $279.81	Facility		$84.38	$100.89	$279.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $220.17 / $240.90	Professional		$84.38	$220.17	$240.90
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 $248.97 / $329.38 / $502.10	Professional		$248.97	$329.38	$502.10