Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.08 / $1,688.00 / $7,175.00	Facility		$239.08	$1,688.00	$7,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $784.81 / $784.81 / $1,156.15	Facility	50	$784.81	$784.81	$1,156.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $188.61 / $267.27	Professional		$74.48	$188.61	$267.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $298.85	Professional	50	$220.42	$298.08	$298.85
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 $217.38 / $257.67 / $376.76	Professional		$217.38	$257.67	$376.76
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $326.08 / $412.46 / $565.14	Professional	50	$326.08	$412.46	$565.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $170.97 / $376.31	Professional		$84.61	$170.97	$376.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $348.86 / $452.68	Professional		$262.08	$348.86	$452.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,793.27 / $3,793.27 / $3,793.27	Facility		$3,793.27	$3,793.27	$3,793.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $126.66 / $126.66	Professional		$126.66	$126.66	$126.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $274.80 / $1,741.00 / $7,197.00	Facility		$274.80	$1,741.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $784.81 / $961.69 / $1,156.15	Facility	50	$784.81	$961.69	$1,156.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $198.49 / $473.37	Professional		$74.98	$198.49	$473.37
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $311.97	Professional	50	$220.42	$298.08	$311.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $238.10 / $372.19	Professional		$93.35	$238.10	$372.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $174.32 / $383.53	Professional		$84.61	$174.32	$383.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $89.12 / $226.75	Facility		$79.52	$89.12	$226.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $216.02 / $236.50	Professional		$79.52	$216.02	$236.50
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 $206.14 / $280.47 / $400.87	Professional		$206.14	$280.47	$400.87