Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $988.00 / $5,750.00	Facility		$92.17	$988.00	$5,750.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $778.81 / $778.81 / $850.63	Facility	50	$778.81	$778.81	$850.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $80.40 / $153.58	Professional		$47.73	$80.40	$153.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.88 / $129.26 / $403.76	Professional	50	$73.88	$129.26	$403.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $133.06 / $175.39	Professional		$88.00	$133.06	$175.39
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $132.00 / $201.76 / $263.12	Professional	50	$132.00	$201.76	$263.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $87.34	Facility		$87.34	$87.34	$87.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $90.29 / $157.19	Professional		$55.88	$90.29	$157.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $137.96 / $179.97	Professional		$104.19	$137.96	$179.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $1,836.76 / $1,974.00	Facility		$133.00	$1,836.76	$1,974.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,673.51 / $3,673.51 / $3,691.63	Facility	50	$3,673.51	$3,673.51	$3,691.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $1,519.00 / $7,175.00	Facility		$125.36	$1,519.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $277.68 / $778.81 / $3,946.88	Facility	50	$277.68	$778.81	$3,946.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $88.27 / $269.18	Professional		$49.27	$88.27	$269.18
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $73.88 / $129.26 / $403.76	Professional	50	$73.88	$129.26	$403.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $96.60 / $188.70	Professional		$96.60	$96.60	$188.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $87.34	Facility		$87.34	$87.34	$87.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $90.97 / $160.55	Professional		$55.88	$90.97	$160.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.55 / $58.74 / $90.17	Facility		$50.55	$58.74	$90.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $85.87 / $93.41	Professional		$50.55	$85.87	$93.41
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $116.57 / $173.55	Professional		$87.43	$116.57	$173.55