Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $3,504.93 / $8,017.00	Facility		$530.64	$3,504.93	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,970.40 / $3,970.40 / $8,926.00	Facility	50	$3,970.40	$3,970.40	$8,926.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $159.44 / $159.44 / $3,023.00	Facility	52	$159.44	$159.44	$3,023.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.21 / $63.78 / $63.78	Facility	53	$53.21	$63.78	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $337.98 / $872.71	Professional		$266.04	$337.98	$872.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $300.08 / $311.41 / $588.62	Professional		$300.08	$311.41	$588.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.48 / $395.05 / $614.71	Professional		$289.48	$395.05	$614.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $460.59 / $460.59	Professional		$348.12	$460.59	$460.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,630.77 / $5,981.99 / $11,937.17	Facility		$1,630.77	$5,981.99	$11,937.17
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,767.12 / $2,767.12 / $10,977.06	Facility	50	$2,767.12	$2,767.12	$10,977.06
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $7,729.68 / $7,729.68 / $7,729.68	Facility	52	$7,729.68	$7,729.68	$7,729.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $3,744.00 / $8,247.00	Facility		$530.64	$3,744.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,748.00 / $3,970.40 / $8,926.00	Facility	50	$3,748.00	$3,970.40	$8,926.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $159.44 / $159.44 / $3,023.00	Facility	52	$159.44	$159.44	$3,023.00
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $63.78 / $63.78 / $63.78	Facility	53	$63.78	$63.78	$63.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $410.48 / $947.13	Professional		$282.14	$410.48	$947.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $409.20 / $738.00	Professional		$3.00	$409.20	$738.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $297.25 / $400.41 / $694.76	Professional		$297.25	$400.41	$694.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $291.30 / $291.30 / $373.71	Facility		$291.30	$291.30	$373.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $293.16 / $373.71	Professional		$282.07	$293.16	$373.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $373.16 / $608.38	Professional		$296.00	$373.16	$608.38