Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.94 / $2,747.00 / $7,629.00	Facility		$436.94	$2,747.00	$7,629.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $77.38 / $77.38 / $373.78	Facility	52	$77.38	$77.38	$373.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $330.06 / $980.97	Professional		$138.65	$330.06	$980.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $862.80 / $1,774.22	Professional		$542.92	$862.80	$1,774.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $351.82 / $1,307.84	Professional		$169.07	$351.82	$1,307.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.31 / $995.46 / $1,033.31	Professional		$751.31	$995.46	$1,033.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $3,515.40 / $13,985.87	Facility		$2,126.00	$3,515.40	$13,985.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,940.13 / $4,940.13 / $4,940.13	Facility	50	$4,940.13	$4,940.13	$4,940.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,679.00 / $8,017.00	Facility		$574.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $77.38 / $77.38 / $373.78	Facility	52	$77.38	$77.38	$373.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $364.65 / $1,132.25	Professional		$138.68	$364.65	$1,132.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $349.00 / $2,194.60	Professional		$4.00	$349.00	$2,194.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $362.69 / $1,307.84	Professional		$169.07	$362.69	$1,307.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.29 / $154.15 / $836.21	Facility		$145.29	$154.15	$836.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.29 / $631.11 / $696.74	Professional		$145.29	$631.11	$696.74
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.03 / $886.68 / $1,444.19	Professional		$570.03	$886.68	$1,444.19