Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.97 / $2,070.00 / $7,629.00	Facility		$200.97	$2,070.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $693.76 / $693.76 / $699.68	Facility	50	$693.76	$693.76	$699.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $155.40 / $233.45	Professional		$97.87	$155.40	$233.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,751.04 / $2,594.00 / $5,296.01	Facility		$1,751.04	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $225.96 / $332.73	Professional		$158.24	$225.96	$332.73
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $237.36 / $360.03 / $499.08	Professional	50	$237.36	$360.03	$499.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $183.87 / $329.01	Professional		$107.66	$183.87	$329.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.34 / $289.58 / $297.95	Professional		$218.34	$289.58	$297.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.84 / $1,030.84 / $1,030.84	Facility		$1,030.84	$1,030.84	$1,030.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,326.00 / $8,017.00	Facility		$540.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $693.76 / $693.76 / $699.68	Facility	50	$693.76	$693.76	$699.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $172.53 / $325.44	Professional		$97.87	$172.53	$325.44
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $143.00 / $498.00	Professional		$5.00	$143.00	$498.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $194.63 / $341.57	Professional		$113.93	$194.63	$341.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $107.53 / $182.38	Facility		$95.63	$107.53	$182.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $177.22 / $194.56	Professional		$105.15	$177.22	$194.56
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $219.16 / $355.65	Professional		$140.05	$219.16	$355.65