Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.76 / $7,423.11 / $16,174.90	Facility		$815.76	$7,423.11	$16,174.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,380.00 / $9,679.77 / $9,679.77	Facility	50	$7,380.00	$9,679.77	$9,679.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.35 / $733.13 / $1,357.46	Professional		$556.35	$733.13	$1,357.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $10,972.24 / $28,970.26	Facility		$8,639.91	$10,972.24	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $728.72 / $1,153.46 / $1,324.37	Professional		$728.72	$1,153.46	$1,324.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,042.00 / $5,042.00 / $5,042.00	Facility		$5,042.00	$5,042.00	$5,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.26 / $867.59 / $1,369.50	Professional		$594.26	$867.59	$1,369.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.53 / $1,143.32 / $1,160.96	Professional		$863.53	$1,143.32	$1,160.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,529.92 / $6,846.05 / $14,459.88	Facility		$3,529.92	$6,846.05	$14,459.88
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,694.97 / $6,069.84 / $7,051.37	Facility	50	$4,694.97	$6,069.84	$7,051.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $999.44 / $7,311.97 / $16,293.90	Facility		$999.44	$7,311.97	$16,293.90
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $6,500.00 / $7,631.35 / $9,679.77	Facility	50	$6,500.00	$7,631.35	$9,679.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $561.88 / $817.28 / $1,554.06	Professional		$561.88	$817.28	$1,554.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $943.30 / $1,917.00	Professional		$5.00	$943.30	$1,917.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,042.00 / $5,042.00 / $5,042.00	Facility		$5,042.00	$5,042.00	$5,042.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $598.44 / $875.01 / $1,421.17	Professional		$598.44	$875.01	$1,421.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $554.50 / $654.62 / $986.13	Facility		$554.50	$654.62	$986.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $700.75 / $760.50	Professional		$554.50	$700.75	$760.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,789.00 / $8,589.00	Facility		$2,468.00	$4,789.00	$8,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.56 / $953.36 / $1,557.39	Professional		$731.56	$953.36	$1,557.39