Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,051.00 / $8,247.00	Facility		$832.00	$4,051.00	$8,247.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,830.97 / $1,830.97 / $33,046.26	Facility	50	$1,830.97	$1,830.97	$33,046.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $1,544.00 / $4,066.40	Professional		$230.93	$1,544.00	$4,066.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,896.19 / $8,671.32	Professional	50	$5,615.42	$5,896.19	$8,671.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,486.34 / $5,010.88 / $7,027.39	Professional		$2,486.34	$5,010.88	$7,027.39
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $4,228.10 / $7,554.72 / $10,541.09	Professional	50	$4,228.10	$7,554.72	$10,541.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $2,792.14 / $6,191.20	Professional		$275.62	$2,792.14	$6,191.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,493.25 / $4,635.64 / $4,828.47	Professional		$3,493.25	$4,635.64	$4,828.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,415.10 / $4,415.10 / $4,415.10	Facility		$4,415.10	$4,415.10	$4,415.10
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,871.07 / $18,605.02 / $33,818.10	Facility	50	$2,871.07	$18,605.02	$33,818.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $8,427.00	Facility		$976.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,830.97 / $15,220.58 / $33,046.26	Facility	50	$1,830.97	$15,220.58	$33,046.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $1,992.00 / $5,381.05	Professional		$230.93	$1,992.00	$5,381.05
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,896.19 / $8,671.32	Professional	50	$5,615.42	$5,896.19	$8,671.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $9,054.79	Professional		$5.00	$5.00	$9,054.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $2,870.77 / $6,745.23	Professional		$284.27	$2,870.77	$6,745.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $250.54 / $283.77 / $4,083.32	Facility		$250.54	$283.77	$4,083.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $2,971.89 / $3,325.23	Professional		$250.54	$2,971.89	$3,325.23
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 $3,117.32 / $4,416.25 / $7,306.25	Professional		$3,117.32	$4,416.25	$7,306.25