Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.33 / $1,544.00 / $5,958.00	Facility		$123.33	$1,544.00	$5,958.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,971.09 / $1,971.09 / $1,971.09	Facility	50	$1,971.09	$1,971.09	$1,971.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.88 / $339.70	Professional		$72.40	$174.88	$339.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.44 / $229.44 / $229.44	Professional	50	$229.44	$229.44	$229.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.23 / $246.92 / $360.62	Professional		$218.23	$246.92	$360.62
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $327.35 / $370.37 / $540.92	Professional	50	$327.35	$370.37	$540.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $171.94 / $357.56	Professional		$81.65	$171.94	$357.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $351.35 / $455.83	Professional		$263.89	$351.35	$455.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.04 / $1,935.19 / $3,283.29	Facility		$1,161.04	$1,935.19	$3,283.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $123.33 / $1,544.00 / $5,958.00	Facility		$123.33	$1,544.00	$5,958.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,971.09 / $1,971.09 / $1,971.09	Facility	50	$1,971.09	$1,971.09	$1,971.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $190.96 / $504.08	Professional		$75.72	$190.96	$504.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $229.44 / $229.44 / $229.44	Professional	50	$229.44	$229.44	$229.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $192.40 / $412.50	Professional		$79.56	$192.40	$412.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $174.99 / $378.69	Professional		$83.27	$174.99	$378.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.68 / $149.55 / $230.70	Facility		$81.68	$149.55	$230.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $216.96 / $238.34	Professional		$81.59	$216.96	$238.34
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $262.33 / $387.04	Professional		$193.08	$262.33	$387.04