Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,042.12 / $8,074.22	Facility		$379.00	$2,042.12	$8,074.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,326.61 / $8,650.43 / $11,109.62	Facility	50	$3,326.61	$8,650.43	$11,109.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $396.32 / $972.24	Professional		$91.56	$396.32	$972.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $185.80 / $349.80 / $1,585.47	Professional	50	$185.80	$349.80	$1,585.47
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 $483.14 / $782.29 / $948.52	Professional		$483.14	$782.29	$948.52
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $821.60 / $1,173.43 / $1,422.77	Professional	50	$821.60	$1,173.43	$1,422.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $259.35 / $902.94	Professional		$108.86	$259.35	$902.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $673.54 / $893.03 / $929.03	Professional		$673.54	$893.03	$929.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $4,574.81 / $8,588.40	Facility		$1,120.00	$4,574.81	$8,588.40
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,507.60 / $4,826.27 / $10,964.54	Facility	50	$1,507.60	$4,826.27	$10,964.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,238.00 / $8,017.00	Facility		$490.00	$2,238.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,667.00 / $4,352.18 / $11,109.62	Facility	50	$2,667.00	$4,352.18	$11,109.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $483.80 / $1,492.32	Professional		$97.44	$483.80	$1,492.32
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $185.80 / $213.19 / $1,585.47	Professional	50	$185.80	$213.19	$1,585.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $117.50 / $1,720.30	Professional		$6.00	$117.50	$1,720.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $282.00 / $902.94	Professional		$110.93	$282.00	$902.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.28 / $112.73 / $579.07	Facility		$96.28	$112.73	$579.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $495.70 / $632.03	Professional		$96.28	$495.70	$632.03
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.56 / $682.91 / $1,243.22	Professional		$484.56	$682.91	$1,243.22