Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.79 / $3,589.00 / $9,534.00	Facility		$344.79	$3,589.00	$9,534.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,484.53 / $5,872.27 / $15,696.33	Facility	50	$1,484.53	$5,872.27	$15,696.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $290.91 / $616.44	Professional		$232.77	$290.91	$616.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.76 / $374.28 / $1,849.31	Professional	50	$124.76	$374.28	$1,849.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $377.23 / $449.62 / $724.67	Professional		$377.23	$449.62	$724.67
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $565.84 / $674.42 / $1,086.97	Professional	50	$565.84	$674.42	$1,086.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $400.33 / $696.22	Professional		$267.10	$400.33	$696.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $515.08 / $683.30 / $695.57	Professional		$515.08	$683.30	$695.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,443.93 / $13,817.09 / $23,345.85	Facility		$1,443.93	$13,817.09	$23,345.85
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $910.53 / $14,622.04 / $30,089.91	Facility	50	$910.53	$14,622.04	$30,089.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $413.66 / $3,839.00 / $10,625.05	Facility		$413.66	$3,839.00	$10,625.05
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,251.13 / $5,495.23 / $13,479.00	Facility	50	$1,251.13	$5,495.23	$13,479.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $408.73 / $783.65	Professional		$233.08	$408.73	$783.65
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $124.76 / $369.06 / $1,232.86	Professional	50	$124.76	$369.06	$1,232.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $390.00 / $1,169.40	Professional		$5.00	$390.00	$1,169.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $409.54 / $696.22	Professional		$274.00	$409.54	$696.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $375.30 / $427.13	Facility		$237.74	$375.30	$427.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $375.30 / $457.67	Professional		$237.74	$375.30	$457.67
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 $279.16 / $462.51 / $832.15	Professional		$279.16	$462.51	$832.15