Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.54 / $3,964.00 / $8,240.00	Facility		$765.54	$3,964.00	$8,240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,129.52 / $5,537.00 / $8,404.00	Facility	50	$4,129.52	$5,537.00	$8,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.37 / $717.22 / $1,086.58	Professional		$583.37	$717.22	$1,086.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $1,432.62 / $5,685.00	Professional	50	$288.10	$1,432.62	$5,685.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $725.96 / $1,028.90 / $1,504.94	Professional		$725.96	$1,028.90	$1,504.94
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,088.94 / $1,648.40 / $2,257.42	Professional	50	$1,088.94	$1,648.40	$2,257.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.98 / $945.89 / $1,555.50	Professional		$661.98	$945.89	$1,555.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $994.21 / $1,322.45 / $1,326.82	Professional		$994.21	$1,322.45	$1,326.82
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,755.04 / $7,805.23 / $15,998.05	Facility	50	$1,755.04	$7,805.23	$15,998.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,304.00 / $8,240.00	Facility		$976.00	$4,304.00	$8,240.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,129.52 / $5,537.00 / $8,404.00	Facility	50	$4,129.52	$5,537.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $583.37 / $772.55 / $1,829.52	Professional		$583.37	$772.55	$1,829.52
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $1,432.62 / $5,685.00	Professional	50	$288.10	$1,432.62	$5,685.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $875.04 / $1,050.90 / $1,843.30	Professional		$875.04	$1,050.90	$1,843.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $701.82 / $988.75 / $1,555.50	Professional		$701.82	$988.75	$1,555.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $636.72 / $657.19 / $910.07	Facility		$636.72	$657.19	$910.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $788.20 / $863.09	Professional		$638.07	$788.20	$863.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.80 / $1,009.36 / $1,764.68	Professional		$744.80	$1,009.36	$1,764.68