Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.00 / $6,000.00 / $13,393.80	Facility		$1,286.00	$6,000.00	$13,393.80
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $28,010.08 / $28,010.08 / $28,010.08	Facility	22	$28,010.08	$28,010.08	$28,010.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $322.58 / $388.18 / $388.18	Facility	52	$322.58	$388.18	$388.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.82 / $897.87 / $2,299.30	Professional		$664.82	$897.87	$2,299.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $727.64 / $755.10 / $755.10	Professional		$727.64	$755.10	$755.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.41 / $971.29 / $1,569.66	Professional		$702.41	$971.29	$1,569.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $847.01 / $1,120.58 / $1,124.53	Professional		$847.01	$1,120.58	$1,124.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,659.22 / $11,791.97 / $20,860.53	Facility		$4,659.22	$11,791.97	$20,860.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,067.49 / $5,681.00 / $12,861.56	Facility		$1,067.49	$5,681.00	$12,861.56
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $28,010.08 / $28,010.08 / $28,010.08	Facility	22	$28,010.08	$28,010.08	$28,010.08
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $388.18 / $388.18 / $388.18	Facility	52	$388.18	$388.18	$388.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $686.45 / $954.38 / $2,305.78	Professional		$686.45	$954.38	$2,305.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,024.50 / $1,805.00	Professional		$5.00	$1,024.50	$1,805.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $747.14 / $1,001.75 / $1,685.77	Professional		$747.14	$1,001.75	$1,685.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $706.95 / $706.95 / $986.04	Facility		$706.95	$706.95	$986.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $685.48 / $710.45 / $986.04	Professional		$685.48	$710.45	$986.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.19 / $905.60 / $1,527.32	Professional		$709.19	$905.60	$1,527.32