Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.26 / $4,264.00 / $10,247.00	Facility		$406.26	$4,264.00	$10,247.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,319.53 / $7,139.00 / $15,316.97	Facility	50	$2,319.53	$7,139.00	$15,316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.68 / $380.06 / $692.40	Professional		$318.68	$380.06	$692.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $415.88 / $711.26 / $2,723.37	Professional	50	$415.88	$711.26	$2,723.37
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 $283.48 / $467.56 / $753.46	Professional		$283.48	$467.56	$753.46
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $425.21 / $701.35 / $1,130.21	Professional	50	$425.21	$701.35	$1,130.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $486.36 / $746.58	Professional		$318.33	$486.36	$746.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $499.23 / $499.23	Professional		$376.48	$499.23	$499.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.74 / $14,152.88 / $25,544.91	Facility		$672.74	$14,152.88	$25,544.91
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,799.34 / $15,519.23 / $27,262.82	Facility	50	$3,799.34	$15,519.23	$27,262.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $477.85 / $4,993.00 / $10,247.00	Facility		$477.85	$4,993.00	$10,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,711.26 / $7,966.50 / $18,491.12	Facility	50	$2,711.26	$7,966.50	$18,491.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $318.68 / $427.77 / $1,013.95	Professional		$318.68	$427.77	$1,013.95
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $415.88 / $711.26 / $2,529.86	Professional	50	$415.88	$711.26	$2,529.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $582.00 / $852.70	Professional		$5.00	$582.00	$852.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $489.41 / $828.03	Professional		$346.94	$489.41	$828.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $316.45 / $702.46	Facility		$316.45	$316.45	$702.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $318.64 / $702.46	Professional		$306.20	$318.64	$702.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,762.00 / $22,280.70	Facility		$2,332.00	$5,762.00	$22,280.70
United Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $437.70 / $662.89	Professional		$295.70	$437.70	$662.89