Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.87 / $4,522.50 / $9,542.54	Facility		$298.87	$4,522.50	$9,542.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $268.48 / $1,070.09	Professional		$186.71	$268.48	$1,070.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.70 / $342.70 / $395.86	Professional		$342.70	$342.70	$395.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $217.72 / $296.42	Professional		$209.81	$217.72	$296.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $239.34 / $239.34	Facility		$239.34	$239.34	$239.34
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $267.20 / $448.82	Professional		$202.76	$267.20	$448.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.07 / $346.42 / $428.49	Professional		$248.07	$346.42	$428.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.33 / $1,360.26 / $7,145.57	Facility		$551.33	$1,360.26	$7,145.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.97 / $224.71 / $476.88	Professional		$198.97	$224.71	$476.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.29 / $4,262.00 / $9,534.00	Facility		$309.29	$4,262.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $191.77 / $309.29 / $1,075.05	Professional		$191.77	$309.29	$1,075.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.50 / $266.50 / $426.50	Professional		$266.50	$266.50	$426.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $239.34 / $239.34	Facility		$239.34	$239.34	$239.34
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $270.04 / $455.32	Professional		$201.71	$270.04	$455.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.83 / $204.83 / $345.84	Facility		$204.83	$204.83	$345.84
UPMC Health Plan Facility/Professional Facility Modifier 62 Low / Median / High Price $326.29 / $326.29 / $326.29	Facility	62	$326.29	$326.29	$326.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $208.93 / $345.84	Professional		$195.17	$208.93	$345.84
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $1,078.00 / $5,609.00	Facility		$162.00	$1,078.00	$5,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $274.72 / $426.48	Professional		$194.41	$274.72	$426.48