Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $5,000.00 / $13,859.00	Facility		$655.00	$5,000.00	$13,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $1,502.19 / $4,722.63	Professional		$307.60	$1,502.19	$4,722.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $2,253.28 / $2,253.28	Professional	50	$502.36	$2,253.28	$2,253.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $57,255.43	Facility		$13,531.00	$27,840.00	$57,255.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,732.21 / $5,409.32 / $7,435.35	Professional		$2,732.21	$5,409.32	$7,435.35
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $4,098.32 / $8,113.97 / $11,153.02	Professional	50	$4,098.32	$8,113.97	$11,153.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.73 / $692.73 / $5,927.29	Professional		$343.73	$692.73	$5,927.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,097.97 / $5,097.97 / $5,292.62	Professional		$5,097.97	$5,097.97	$5,292.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,819.80 / $22,812.63 / $40,198.58	Facility		$5,819.80	$22,812.63	$40,198.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $325.33 / $424.20	Professional		$325.33	$325.33	$424.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.66 / $4,828.00 / $15,469.04	Facility		$660.66	$4,828.00	$15,469.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $297.88 / $1,119.00 / $6,082.42	Professional		$297.88	$1,119.00	$6,082.42
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $2,253.28 / $2,253.28	Professional	50	$502.36	$2,253.28	$2,253.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.76 / $531.84 / $6,046.72	Professional		$283.76	$531.84	$6,046.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $350.32 / $697.11 / $5,899.97	Professional		$350.32	$697.11	$5,899.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $294.06 / $367.79 / $4,266.27	Facility		$294.06	$367.79	$4,266.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $294.06 / $367.79 / $3,617.70	Professional		$294.06	$367.79	$3,617.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $7,000.00 / $12,076.00	Facility		$3,340.00	$7,000.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,047.06 / $4,237.12 / $6,320.33	Professional		$3,047.06	$4,237.12	$6,320.33