Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $2,747.00 / $8,451.00	Facility		$257.83	$2,747.00	$8,451.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,079.77 / $5,820.22 / $8,337.48	Facility	50	$2,079.77	$5,820.22	$8,337.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $262.89 / $639.75	Professional		$158.96	$262.89	$639.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.02 / $652.14 / $1,243.51	Professional	50	$316.02	$652.14	$1,243.51
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 $244.33 / $395.93 / $487.76	Professional		$244.33	$395.93	$487.76
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $389.23 / $595.86 / $731.63	Professional	50	$389.23	$595.86	$731.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $299.52 / $480.60	Professional		$174.96	$299.52	$480.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $415.12 / $421.83	Professional		$312.81	$415.12	$421.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,584.62 / $4,062.82 / $15,505.91	Facility		$2,584.62	$4,062.82	$15,505.91
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,354.02 / $3,642.52 / $7,729.64	Facility	50	$1,354.02	$3,642.52	$7,729.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $279.23 / $2,675.00 / $8,609.00	Facility		$279.23	$2,675.00	$8,609.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,737.00 / $5,982.47 / $14,157.89	Facility	50	$2,737.00	$5,982.47	$14,157.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $309.05 / $770.13	Professional		$160.05	$309.05	$770.13
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $316.02 / $652.14 / $1,196.11	Professional	50	$316.02	$652.14	$1,196.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $299.89 / $742.00	Professional		$5.00	$299.89	$742.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $305.86 / $520.49	Professional		$180.23	$305.86	$520.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $156.06 / $231.37 / $355.21	Facility		$156.06	$231.37	$355.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $244.53 / $267.20	Professional		$156.06	$244.53	$267.20
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $340.64 / $545.02	Professional		$225.02	$340.64	$545.02