Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,819.00 / $7,175.00	Facility		$480.00	$1,819.00	$7,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,142.60 / $4,142.60 / $4,142.60	Facility	50	$4,142.60	$4,142.60	$4,142.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $165.72 / $486.51	Professional		$46.97	$165.72	$486.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $403.76 / $655.94	Professional		$333.24	$403.76	$655.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $128.53 / $696.88	Professional		$57.99	$128.53	$696.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $465.70 / $617.71 / $642.22	Professional		$465.70	$617.71	$642.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $1,800.81 / $10,380.70	Facility		$852.80	$1,800.81	$10,380.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $1,978.00 / $7,197.00	Facility		$536.00	$1,978.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,142.60 / $4,142.60 / $4,142.60	Facility	50	$4,142.60	$4,142.60	$4,142.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $283.36 / $714.24	Professional		$50.22	$283.36	$714.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $617.40 / $1,197.09	Professional		$5.00	$617.40	$1,197.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $128.53 / $696.88	Professional		$57.99	$128.53	$696.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.72 / $320.04 / $2,772.13	Facility		$51.72	$320.04	$2,772.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $392.94 / $437.54	Professional		$51.72	$392.94	$437.54
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,155.00 / $3,742.00	Facility		$435.00	$1,155.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.12 / $464.46 / $769.97	Professional		$341.12	$464.46	$769.97