Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,066.00 / $8,017.00	Facility		$594.00	$3,066.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,830.97 / $4,155.28 / $7,642.55	Facility	50	$1,830.97	$4,155.28	$7,642.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $1,534.38 / $2,243.69	Professional		$155.46	$1,534.38	$2,243.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.09 / $1,155.00 / $2,885.34	Professional	50	$126.09	$1,155.00	$2,885.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,325.04 / $2,639.82 / $4,088.34	Professional		$1,325.04	$2,639.82	$4,088.34
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,253.27 / $4,018.25 / $6,132.48	Professional	50	$2,253.27	$4,018.25	$6,132.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $452.81 / $3,087.40	Professional		$178.18	$452.81	$3,087.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,860.50 / $2,468.96 / $2,570.08	Professional		$1,860.50	$2,468.96	$2,570.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,416.85 / $12,416.85 / $12,416.85	Facility		$12,416.85	$12,416.85	$12,416.85
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $490.70 / $5,805.09 / $17,278.93	Facility	50	$490.70	$5,805.09	$17,278.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,748.00 / $8,017.00	Facility		$749.00	$3,748.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,830.97 / $1,830.97 / $7,642.55	Facility	50	$1,830.97	$1,830.97	$7,642.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,541.82 / $3,371.40	Professional		$158.83	$1,541.82	$3,371.40
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $126.09 / $1,155.00 / $2,885.34	Professional	50	$126.09	$1,155.00	$2,885.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $277.20 / $5,102.00	Professional		$5.00	$277.20	$5,102.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $452.82 / $3,371.50	Professional		$180.51	$452.82	$3,371.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $192.11 / $1,929.45	Facility		$154.07	$192.11	$1,929.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $1,579.62 / $1,766.07	Professional		$154.07	$1,579.62	$1,766.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,642.40 / $2,293.67 / $3,746.17	Professional		$1,642.40	$2,293.67	$3,746.17