Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.72 / $2,747.00 / $8,017.00	Facility		$582.72	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $459.81 / $664.63	Professional		$165.77	$459.81	$664.63
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 $435.57 / $774.87 / $913.08	Professional		$435.57	$774.87	$913.08
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $740.70 / $1,162.30 / $1,369.63	Professional	50	$740.70	$1,162.30	$1,369.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $492.06 / $883.94	Professional		$201.08	$492.06	$883.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $800.02 / $822.90	Professional		$602.91	$800.02	$822.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,316.69 / $1,316.69 / $1,316.69	Facility		$1,316.69	$1,316.69	$1,316.69
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $36,640.37 / $36,640.37 / $36,640.37	Facility	50	$36,640.37	$36,640.37	$36,640.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $3,077.00 / $8,017.00	Facility		$760.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $477.07 / $1,126.40	Professional		$171.87	$477.07	$1,126.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $558.40 / $1,449.80	Professional		$6.00	$558.40	$1,449.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $493.58 / $964.34	Professional		$202.29	$493.58	$964.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $201.17 / $530.45	Facility		$176.22	$201.17	$530.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $176.22 / $502.85 / $552.35	Professional		$176.22	$502.85	$552.35
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 $455.69 / $640.37 / $1,070.82	Professional		$455.69	$640.37	$1,070.82