Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.81 / $2,467.00 / $7,623.38	Facility		$350.81	$2,467.00	$7,623.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,428.36 / $3,428.36 / $3,428.36	Facility	50	$3,428.36	$3,428.36	$3,428.36
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.23 / $413.11 / $1,572.80	Facility	52	$107.23	$413.11	$1,572.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.89 / $42.89 / $208.55	Facility	53	$42.89	$42.89	$208.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $577.44 / $1,119.83	Professional		$188.08	$577.44	$1,119.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $740.27 / $1,262.04 / $1,512.57	Professional		$740.27	$1,262.04	$1,512.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $510.00 / $1,492.75	Professional		$235.67	$510.00	$1,492.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.14 / $1,360.01 / $1,411.27	Professional		$1,026.14	$1,360.01	$1,411.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.21 / $4,027.54 / $8,860.08	Facility		$2,500.21	$4,027.54	$8,860.08
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,285.12 / $7,285.12 / $7,285.12	Facility	50	$7,285.12	$7,285.12	$7,285.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,543.00 / $7,927.19	Facility		$540.00	$2,543.00	$7,927.19
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,428.36 / $3,428.36 / $3,428.36	Facility	50	$3,428.36	$3,428.36	$3,428.36
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $107.23 / $521.37 / $2,405.00	Facility	52	$107.23	$521.37	$2,405.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $42.89 / $42.89 / $208.55	Facility	53	$42.89	$42.89	$208.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.36 / $636.94 / $1,532.81	Professional		$195.36	$636.94	$1,532.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $222.40 / $2,561.69	Professional		$6.00	$222.40	$2,561.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $531.09 / $1,492.75	Professional		$235.67	$531.09	$1,492.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $197.78 / $246.32 / $889.60	Facility		$197.78	$246.32	$889.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $862.01 / $952.73	Professional		$197.78	$862.01	$952.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.78 / $1,074.68 / $1,829.24	Professional		$813.78	$1,074.68	$1,829.24