Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.29 / $1,426.00 / $6,012.00	Facility		$244.29	$1,426.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $763.63 / $763.63 / $763.63	Facility	50	$763.63	$763.63	$763.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $181.12 / $392.92	Professional		$88.86	$181.12	$392.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $689.01 / $1,174.50	Professional	50	$267.48	$689.01	$1,174.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $231.12 / $330.63	Professional		$169.55	$231.12	$330.63
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $254.33 / $354.17 / $504.35	Professional	50	$254.33	$354.17	$504.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $179.34 / $339.29	Professional		$89.11	$179.34	$339.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $311.83 / $316.45	Professional		$311.83	$311.83	$316.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.94 / $800.39 / $1,569.35	Facility		$538.94	$800.39	$1,569.35
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $584.38 / $1,351.26 / $2,767.80	Facility	50	$584.38	$1,351.26	$2,767.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $206.06 / $231.32	Professional		$132.96	$206.06	$231.32
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.85 / $346.85 / $346.98	Professional	50	$346.85	$346.85	$346.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $273.82 / $1,635.00 / $7,175.00	Facility		$273.82	$1,635.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $763.63 / $763.63 / $763.63	Facility	50	$763.63	$763.63	$763.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $195.03 / $642.51	Professional		$87.95	$195.03	$642.51
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $226.06 / $427.78 / $1,174.50	Professional	50	$226.06	$427.78	$1,174.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $190.50 / $385.06	Professional		$69.89	$190.50	$385.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $186.89 / $339.29	Professional		$90.85	$186.89	$339.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.65 / $130.13 / $200.39	Facility		$73.65	$130.13	$200.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $130.13 / $200.39	Professional		$73.65	$130.13	$200.39
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $232.90 / $380.40	Professional		$163.77	$232.90	$380.40