Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.44 / $2,747.00 / $8,017.00	Facility		$311.44	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $240.83 / $373.87	Professional		$137.06	$240.83	$373.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $459.93 / $2,116.50	Professional	50	$459.93	$459.93	$2,116.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $413.75 / $490.29	Professional		$245.34	$413.75	$490.29
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $417.20 / $620.62 / $735.45	Professional	50	$417.20	$620.62	$735.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $293.31 / $487.67	Professional		$165.95	$293.31	$487.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.48 / $446.41 / $455.94	Professional		$336.48	$446.41	$455.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,197.76 / $8,197.76 / $9,955.43	Facility		$8,197.76	$8,197.76	$9,955.43
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,741.42 / $7,741.42 / $7,741.42	Facility	50	$7,741.42	$7,741.42	$7,741.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,993.26 / $8,017.00	Facility		$760.00	$2,993.26	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $274.49 / $769.31	Professional		$143.36	$274.49	$769.31
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $459.93 / $2,116.50	Professional	50	$459.93	$459.93	$2,116.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $371.00 / $766.30	Professional		$6.00	$371.00	$766.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $297.39 / $523.94	Professional		$167.06	$297.39	$523.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.26 / $165.87 / $284.85	Facility		$145.26	$165.87	$284.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $274.30 / $300.36	Professional		$145.26	$274.30	$300.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $2,804.21 / $5,859.84	Facility		$1,233.00	$2,804.21	$5,859.84
United Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $343.19 / $571.51	Professional		$243.21	$343.19	$571.51