Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.43 / $1,544.00 / $6,012.00	Facility		$102.43	$1,544.00	$6,012.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,643.49 / $2,753.75 / $4,006.43	Facility	50	$1,643.49	$2,753.75	$4,006.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $105.74 / $213.93	Professional		$50.66	$105.74	$213.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $160.90 / $283.11 / $737.28	Professional	50	$160.90	$283.11	$737.28
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 $106.75 / $148.72 / $242.29	Professional		$106.75	$148.72	$242.29
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $160.13 / $223.32 / $363.44	Professional	50	$160.13	$223.32	$363.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $92.61	Facility		$92.61	$92.61	$92.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $120.96 / $218.21	Professional		$60.95	$120.96	$218.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $169.59 / $220.27	Professional		$127.52	$169.59	$220.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.62 / $1,961.70 / $3,942.01	Facility		$990.62	$1,961.70	$3,942.01
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,531.00 / $3,531.00 / $5,397.22	Facility	50	$3,531.00	$3,531.00	$5,397.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $122.61 / $122.61	Professional		$122.61	$122.61	$122.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $1,633.00 / $7,175.00	Facility		$124.56	$1,633.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,643.49 / $2,753.75 / $4,006.43	Facility	50	$1,643.49	$2,753.75	$4,006.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $121.36 / $340.00	Professional		$54.53	$121.36	$340.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $160.90 / $204.82 / $715.80	Professional	50	$160.90	$204.82	$715.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $168.36 / $247.70	Professional		$51.23	$168.36	$247.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $92.61	Facility		$92.61	$92.61	$92.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $124.06 / $225.12	Professional		$60.79	$124.06	$225.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $92.72 / $149.61	Facility		$53.40	$92.72	$149.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $105.07 / $114.64	Professional		$53.40	$105.07	$114.64
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 $107.66 / $146.03 / $217.65	Professional		$107.66	$146.03	$217.65