Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.27 / $3,200.10 / $8,442.79	Facility		$329.27	$3,200.10	$8,442.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,013.29 / $1,924.25 / $28,183.79	Facility	50	$1,013.29	$1,924.25	$28,183.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $934.25 / $3,883.96	Professional		$176.67	$934.25	$3,883.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $909.86 / $1,336.65 / $5,695.62	Professional	50	$909.86	$1,336.65	$5,695.62
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 $1,348.07 / $2,681.08 / $7,646.95	Professional		$1,348.07	$2,681.08	$7,646.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,292.42 / $4,083.21 / $11,470.42	Professional	50	$2,292.42	$4,083.21	$11,470.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $541.05 / $4,430.34	Professional		$204.24	$541.05	$4,430.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,891.74 / $2,510.61 / $2,610.96	Professional		$1,891.74	$2,510.61	$2,610.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.33 / $583.29 / $18,396.50	Facility		$456.33	$583.29	$18,396.50
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $490.70 / $4,096.00 / $24,047.19	Facility	50	$490.70	$4,096.00	$24,047.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $3,748.00 / $8,451.00	Facility		$655.00	$3,748.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,736.50 / $2,547.51 / $28,183.79	Facility	50	$1,736.50	$2,547.51	$28,183.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $1,068.00 / $4,466.56	Professional		$180.40	$1,068.00	$4,466.56
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $909.86 / $1,336.65 / $5,695.62	Professional	50	$909.86	$1,336.65	$5,695.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $698.20 / $5,173.30	Professional		$5.00	$698.20	$5,173.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.99 / $541.05 / $4,430.34	Professional		$204.99	$541.05	$4,430.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $175.47 / $228.47 / $3,583.86	Facility		$175.47	$228.47	$3,583.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.47 / $1,604.96 / $1,792.64	Professional		$175.47	$1,604.96	$1,792.64
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 $1,658.34 / $2,918.90 / $4,498.12	Professional		$1,658.34	$2,918.90	$4,498.12