Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.55 / $1,569.00 / $6,432.00	Facility		$120.55	$1,569.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $181.36 / $262.33	Professional		$75.92	$181.36	$262.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $613.53 / $630.38 / $630.38	Professional	50	$613.53	$630.38	$630.38
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 $211.66 / $260.20 / $367.02	Professional		$211.66	$260.20	$367.02
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $317.49 / $400.55 / $550.53	Professional	50	$317.49	$400.55	$550.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $171.65 / $372.71	Professional		$86.81	$171.65	$372.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $339.41 / $440.44	Professional		$254.99	$339.41	$440.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.53 / $1,659.29 / $3,198.35	Facility		$522.53	$1,659.29	$3,198.35
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $375.63 / $2,432.80 / $4,656.14	Facility	50	$375.63	$2,432.80	$4,656.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.55 / $273.64 / $279.08	Professional		$270.55	$273.64	$279.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $206.38 / $1,569.00 / $7,175.00	Facility		$206.38	$1,569.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $199.63 / $497.12	Professional		$76.14	$199.63	$497.12
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $613.53 / $613.53 / $630.38	Professional	50	$613.53	$613.53	$630.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $199.68 / $443.86	Professional		$74.98	$199.68	$443.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $174.40 / $385.12	Professional		$86.81	$174.40	$385.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $91.73 / $228.99	Facility		$79.84	$91.73	$228.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $209.80 / $229.54	Professional		$79.84	$209.80	$229.54
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 $204.49 / $272.38 / $410.49	Professional		$204.49	$272.38	$410.49