Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.13 / $2,341.00 / $7,197.00	Facility		$252.13	$2,341.00	$7,197.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $899.02 / $6,332.92 / $18,670.91	Facility	50	$899.02	$6,332.92	$18,670.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $274.41 / $582.66	Professional		$167.50	$274.41	$582.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $244.56 / $563.66 / $1,387.31	Professional	50	$244.56	$563.66	$1,387.31
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 $222.74 / $311.94 / $473.67	Professional		$222.74	$311.94	$473.67
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $334.12 / $511.13 / $710.49	Professional	50	$334.12	$511.13	$710.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $295.18 / $471.72	Professional		$180.86	$295.18	$471.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $402.21 / $408.48	Professional		$303.20	$402.21	$408.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.60 / $4,478.32 / $7,048.63	Facility		$1,546.60	$4,478.32	$7,048.63
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,456.41 / $7,645.75 / $10,096.75	Facility	50	$1,456.41	$7,645.75	$10,096.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,389.00 / $8,017.00	Facility		$540.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $899.02 / $5,990.40 / $18,670.91	Facility	50	$899.02	$5,990.40	$18,670.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $318.11 / $655.03	Professional		$167.61	$318.11	$655.03
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $252.29 / $563.66 / $1,155.93	Professional	50	$252.29	$563.66	$1,155.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $336.60 / $756.30	Professional		$5.00	$336.60	$756.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $309.70 / $487.54	Professional		$189.44	$309.70	$487.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $238.61 / $367.84	Facility		$163.01	$238.61	$367.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $238.71 / $260.51	Professional		$163.01	$238.71	$260.51
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 $233.96 / $310.95 / $522.34	Professional		$233.96	$310.95	$522.34