Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,266.00 / $7,629.00	Facility		$641.00	$2,266.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,633.00 / $8,755.50 / $9,208.21	Facility	50	$1,633.00	$8,755.50	$9,208.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $493.35 / $971.74	Professional		$420.77	$493.35	$971.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $555.67 / $799.47 / $957.03	Professional		$555.67	$799.47	$957.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.77 / $667.30 / $1,119.76	Professional		$453.77	$667.30	$1,119.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $667.38 / $888.44 / $888.44	Professional		$667.38	$888.44	$888.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.00 / $7,508.69 / $12,914.15	Facility		$1,222.00	$7,508.69	$12,914.15
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,147.41 / $7,671.23 / $20,895.38	Facility	50	$1,147.41	$7,671.23	$20,895.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $705.50 / $2,070.00 / $8,017.00	Facility		$705.50	$2,070.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $617.00 / $3,832.50 / $9,208.21	Facility	50	$617.00	$3,832.50	$9,208.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $443.13 / $651.88 / $1,508.25	Professional		$443.13	$651.88	$1,508.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $567.29 / $1,093.80	Professional		$3.00	$567.29	$1,093.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $503.19 / $670.07 / $1,119.76	Professional		$503.19	$670.07	$1,119.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $454.98 / $541.10 / $541.10	Facility		$454.98	$541.10	$541.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $454.98 / $541.10 / $574.14	Professional		$454.98	$541.10	$574.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,110.35 / $12,324.96	Facility		$2,332.00	$5,110.35	$12,324.96
United Facility/Professional Professional Modifier Low / Median / High Price $417.86 / $579.23 / $994.45	Professional		$417.86	$579.23	$994.45