Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,627.00 / $8,017.00	Facility		$768.00	$3,627.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $718.96 / $718.96 / $718.96	Facility	50	$718.96	$718.96	$718.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $1,317.35 / $3,799.61	Professional		$143.80	$1,317.35	$3,799.61
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 $1,312.42 / $2,617.14 / $7,572.65	Professional		$1,312.42	$2,617.14	$7,572.65
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $2,231.80 / $3,983.19 / $11,358.98	Professional	50	$2,231.80	$3,983.19	$11,358.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $443.12 / $4,389.20	Professional		$166.69	$443.12	$4,389.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.86 / $2,446.98 / $2,547.94	Professional		$1,843.86	$2,446.98	$2,547.94
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,445.41 / $3,445.41 / $14,930.18	Facility	50	$3,445.41	$3,445.41	$14,930.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,068.00 / $8,247.00	Facility		$832.00	$4,068.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $718.96 / $718.96 / $718.96	Facility	50	$718.96	$718.96	$718.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $1,317.35 / $4,179.58	Professional		$143.80	$1,317.35	$4,179.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $384.40 / $5,110.50	Professional		$5.00	$384.40	$5,110.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $443.12 / $4,389.20	Professional		$166.69	$443.12	$4,389.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $188.10 / $3,578.62	Facility		$140.54	$188.10	$3,578.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $1,565.76 / $1,751.60	Professional		$140.54	$1,565.76	$1,751.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.92 / $2,568.67 / $4,762.41	Professional		$1,621.92	$2,568.67	$4,762.41