Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $750.84 / $5,342.00	Facility		$139.44	$750.84	$5,342.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $578.39 / $578.39 / $2,578.00	Facility	50	$578.39	$578.39	$2,578.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $187.41 / $421.08	Professional		$74.28	$187.41	$421.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.05 / $403.72 / $473.83	Professional	50	$112.05	$403.72	$473.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $205.80 / $292.99 / $402.81	Professional		$205.80	$292.99	$402.81
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $308.70 / $446.17 / $604.22	Professional	50	$308.70	$446.17	$604.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $198.26 / $390.46	Professional		$83.99	$198.26	$390.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $378.75 / $387.31	Professional		$285.14	$378.75	$387.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.86 / $375.22 / $1,132.83	Facility		$237.86	$375.22	$1,132.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $274.23 / $403.94 / $2,312.13	Facility	50	$274.23	$403.94	$2,312.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $179.72 / $1,173.38 / $5,750.00	Facility		$179.72	$1,173.38	$5,750.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $578.39 / $578.39 / $2,578.00	Facility	50	$578.39	$578.39	$2,578.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $206.16 / $470.66	Professional		$76.87	$206.16	$470.66
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $112.05 / $403.72 / $563.69	Professional	50	$112.05	$403.72	$563.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $177.00 / $672.90	Professional		$5.00	$177.00	$672.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $220.11 / $390.46	Professional		$85.54	$220.11	$390.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $119.14 / $253.36	Facility		$76.29	$119.14	$253.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $234.80 / $258.05	Professional		$76.29	$234.80	$258.05
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $274.24 / $472.02	Professional		$171.30	$274.24	$472.02