Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.83 / $277.83 / $277.83	Facility		$277.83	$277.83	$277.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $282.85 / $475.69	Professional		$218.58	$282.85	$475.69
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.50 / $138.91 / $171.35	Professional	52	$102.50	$138.91	$171.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $278.69 / $488.27	Professional		$259.18	$278.69	$488.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $293.49 / $304.57 / $468.00	Professional		$293.49	$304.57	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.63 / $306.14 / $525.13	Professional		$234.63	$306.14	$525.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $642.39 / $642.39 / $642.39	Facility		$642.39	$642.39	$642.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $292.76 / $401.43 / $600.76	Professional		$292.76	$401.43	$600.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.18 / $349.01 / $404.82	Professional		$325.18	$349.01	$404.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $314.14 / $606.30	Professional		$220.77	$314.14	$606.30
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $111.47 / $142.59 / $265.08	Professional	52	$111.47	$142.59	$265.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $252.10 / $252.10 / $252.10	Facility		$252.10	$252.10	$252.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.10 / $415.10 / $591.90	Professional		$252.10	$415.10	$591.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $234.63 / $305.30 / $514.73	Professional		$234.63	$305.30	$514.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $285.70 / $285.70 / $285.70	Facility		$285.70	$285.70	$285.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.16 / $285.70 / $297.99	Professional		$231.16	$285.70	$297.99
United Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $257.30 / $426.97	Professional		$203.01	$257.30	$426.97