Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $1,819.00 / $7,175.00	Facility		$100.92	$1,819.00	$7,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,742.30 / $3,027.02 / $7,603.54	Facility	50	$2,742.30	$3,027.02	$7,603.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $91.60 / $198.03	Professional		$50.24	$91.60	$198.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $159.85 / $177.72 / $460.35	Professional	50	$159.85	$177.72	$460.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $119.84 / $245.14	Professional		$95.62	$119.84	$245.14
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $143.43 / $199.31 / $367.74	Professional	50	$143.43	$199.31	$367.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Facility		$93.73	$93.73	$93.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $112.52 / $211.94	Professional		$60.34	$112.52	$211.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $152.12 / $196.78	Professional		$113.93	$152.12	$196.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.26 / $1,576.00 / $5,967.85	Facility		$784.26	$1,576.00	$5,967.85
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $401.98 / $3,626.86 / $6,214.20	Facility	50	$401.98	$3,626.86	$6,214.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $159.99 / $1,819.00 / $7,799.00	Facility		$159.99	$1,819.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,742.30 / $3,400.08 / $7,603.54	Facility	50	$2,742.30	$3,400.08	$7,603.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $127.36 / $299.73	Professional		$53.87	$127.36	$299.73
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $159.85 / $163.13 / $460.35	Professional	50	$159.85	$163.13	$460.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $147.41 / $253.00	Professional		$51.11	$147.41	$253.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Facility		$93.73	$93.73	$93.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $113.23 / $220.79	Professional		$60.34	$113.23	$220.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $94.76 / $158.41	Facility		$53.38	$94.76	$158.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $93.60 / $102.10	Professional		$53.38	$93.60	$102.10
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 $89.27 / $137.62 / $206.43	Professional		$89.27	$137.62	$206.43