Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $323.39 / $1,827.57	Facility		$94.31	$323.39	$1,827.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $30.86 / $70.45 / $204.31	Facility	52	$30.86	$70.45	$204.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $144.55 / $277.00	Professional		$71.69	$144.55	$277.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $148.16 / $148.16	Professional		$148.16	$148.16	$148.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,020.88 / $5,000.00 / $77,850.02	Facility		$1,020.88	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $230.13 / $323.32	Professional		$155.11	$230.13	$323.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $682.12 / $1,428.60	Facility		$124.64	$682.12	$1,428.60
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $153.79 / $337.10	Professional		$84.66	$153.79	$337.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $167.48 / $167.48 / $167.48	Facility		$167.48	$167.48	$167.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $238.97 / $320.27	Professional		$184.92	$238.97	$320.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.58 / $1,055.67 / $1,458.15	Facility		$543.58	$1,055.67	$1,458.15
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $930.66 / $930.66 / $930.66	Facility	52	$930.66	$930.66	$930.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $96.86 / $722.80	Professional		$84.95	$96.86	$722.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $115.40 / $422.71 / $1,827.57	Facility		$115.40	$422.71	$1,827.57
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $33.94 / $77.50 / $204.31	Facility	52	$33.94	$77.50	$204.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $170.67 / $403.91	Professional		$78.48	$170.67	$403.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $328.70 / $328.70 / $328.70	Facility		$328.70	$328.70	$328.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $328.70 / $448.60	Professional		$144.54	$328.70	$448.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $519.76 / $1,428.60	Facility		$124.64	$519.76	$1,428.60
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $157.52 / $344.58	Professional		$84.67	$157.52	$344.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.12 / $104.33 / $380.21	Facility		$75.12	$104.33	$380.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $156.62 / $170.72	Professional		$75.12	$156.62	$170.72
United Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $203.96 / $385.78	Professional		$152.19	$203.96	$385.78