Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,226.00	Facility		$540.00	$2,747.00	$8,226.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,161.40 / $8,273.94 / $11,805.38	Facility	50	$3,161.40	$8,273.94	$11,805.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.68 / $555.61 / $1,046.36	Professional		$472.68	$555.61	$1,046.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $620.73 / $918.36 / $2,550.80	Professional	50	$620.73	$918.36	$2,550.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $5,951.00 / $8,887.00	Facility		$2,450.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $607.88 / $630.82 / $1,090.07	Professional		$607.88	$630.82	$1,090.07
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $911.82 / $946.23 / $1,635.08	Professional	50	$911.82	$946.23	$1,635.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.96 / $633.16 / $1,146.03	Professional		$499.96	$633.16	$1,146.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $722.82 / $929.34 / $955.45	Professional		$722.82	$929.34	$955.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,326.40 / $3,799.42 / $9,008.12	Facility		$3,326.40	$3,799.42	$9,008.12
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,485.38 / $5,808.62 / $11,870.24	Facility	50	$3,485.38	$5,808.62	$11,870.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $721.11 / $4,539.00 / $9,534.00	Facility		$721.11	$4,539.00	$9,534.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,585.63 / $6,863.04 / $11,805.38	Facility	50	$2,585.63	$6,863.04	$11,805.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $497.31 / $601.89 / $1,621.00	Professional		$497.31	$601.89	$1,621.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $620.73 / $1,231.75 / $4,838.22	Professional	50	$620.73	$1,231.75	$4,838.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $767.80 / $767.80 / $813.30	Professional		$767.80	$767.80	$813.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $911.35 / $911.35 / $911.35	Facility		$911.35	$911.35	$911.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $638.45 / $1,170.21	Professional		$511.28	$638.45	$1,170.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $532.17 / $545.65 / $664.28	Facility		$532.17	$545.65	$664.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $528.88 / $589.66 / $640.75	Professional		$528.88	$589.66	$640.75
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.99 / $666.28 / $1,134.31	Professional		$534.99	$666.28	$1,134.31