Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.67 / $2,747.00 / $8,488.33	Facility		$269.67	$2,747.00	$8,488.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,488.50 / $3,552.00 / $6,499.53	Facility	50	$2,488.50	$3,552.00	$6,499.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $305.91 / $515.41	Professional		$199.39	$305.91	$515.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $773.12 / $773.12 / $773.12	Professional	50	$773.12	$773.12	$773.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $4,354.00 / $8,459.92	Facility		$1,824.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $385.48 / $570.35	Professional		$263.77	$385.48	$570.35
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $395.68 / $617.66 / $855.55	Professional	50	$395.68	$617.66	$855.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $321.05 / $556.24	Professional		$217.98	$321.05	$556.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $483.84 / $483.84 / $484.42	Professional		$483.84	$483.84	$484.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,233.41 / $3,422.36 / $5,319.38	Facility		$2,233.41	$3,422.36	$5,319.38
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,728.85 / $10,074.91 / $16,214.40	Facility	50	$2,728.85	$10,074.91	$16,214.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.18 / $361.18 / $361.18	Professional		$361.18	$361.18	$361.18
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $317.07 / $394.72 / $541.77	Professional	50	$317.07	$394.72	$541.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $384.50 / $3,143.00 / $8,247.00	Facility		$384.50	$3,143.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,488.50 / $4,311.66 / $6,499.53	Facility	50	$2,488.50	$4,311.66	$6,499.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $336.68 / $1,070.70	Professional		$213.25	$336.68	$1,070.70
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $773.12 / $773.12 / $773.12	Professional	50	$773.12	$773.12	$773.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $403.40 / $832.80	Professional		$5.00	$403.40	$832.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $220.11 / $325.14 / $519.65	Professional		$220.11	$325.14	$519.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.19 / $279.73 / $409.94	Facility		$199.19	$279.73	$409.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $279.73 / $325.02	Professional		$199.19	$279.73	$325.02
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,300.00	Facility		$814.00	$2,391.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.68 / $387.20 / $610.97	Professional		$278.68	$387.20	$610.97