Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $988.00 / $5,342.00	Facility		$62.49	$988.00	$5,342.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $273.70 / $711.79 / $2,331.42	Facility	50	$273.70	$711.79	$2,331.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $79.80 / $199.63	Professional		$50.67	$79.80	$199.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.24 / $236.87 / $462.93	Professional	50	$141.24	$236.87	$462.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $114.89 / $189.43	Professional		$74.48	$114.89	$189.43
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $111.73 / $172.34 / $284.13	Professional	50	$111.73	$172.34	$284.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $90.34	Facility		$90.34	$90.34	$90.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $92.78 / $156.41	Professional		$58.13	$92.78	$156.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $120.60 / $153.05	Professional		$88.61	$120.60	$153.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.01 / $662.59 / $1,325.15	Facility		$347.01	$662.59	$1,325.15
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $565.82 / $1,104.56 / $1,987.76	Facility	50	$565.82	$1,104.56	$1,987.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $92.54 / $175.06	Professional		$79.25	$92.54	$175.06
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.18 / $129.65 / $129.65	Professional	50	$126.18	$129.65	$129.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $1,280.55 / $5,750.00	Facility		$67.95	$1,280.55	$5,750.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $637.25 / $1,349.78 / $2,641.16	Facility	50	$637.25	$1,349.78	$2,641.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $97.82 / $228.71	Professional		$53.31	$97.82	$228.71
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $135.13 / $235.08 / $411.00	Professional	50	$135.13	$235.08	$411.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $121.98 / $188.20	Professional		$61.19	$121.98	$188.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $90.34	Facility		$90.34	$90.34	$90.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $92.78 / $173.56	Professional		$58.13	$92.78	$173.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $72.75 / $109.83	Facility		$51.57	$72.75	$109.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $70.47 / $78.30	Professional		$51.57	$70.47	$78.30
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $557.00 / $3,742.00	Facility		$226.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $108.47 / $153.90	Professional		$72.23	$108.47	$153.90