Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,142.00 / $8,962.45	Facility		$594.00	$3,142.00	$8,962.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,923.04 / $28,525.19 / $49,344.83	Facility	50	$1,923.04	$28,525.19	$49,344.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.76 / $646.96 / $1,243.41	Professional		$278.76	$646.96	$1,243.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $516.03 / $1,030.05 / $2,890.59	Professional	50	$516.03	$1,030.05	$2,890.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $26,582.19	Facility		$8,850.00	$16,455.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $694.07 / $720.26 / $1,469.75	Professional		$694.07	$720.26	$1,469.75
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,041.09 / $1,080.39 / $2,204.61	Professional	50	$1,041.09	$1,080.39	$2,204.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $515.84	Facility		$515.84	$515.84	$515.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.37 / $654.78 / $1,496.06	Professional		$319.37	$654.78	$1,496.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $835.11 / $1,115.49 / $1,442.46	Professional		$835.11	$1,115.49	$1,442.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.00 / $12,774.62 / $22,711.41	Facility		$1,599.00	$12,774.62	$22,711.41
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,431.67 / $18,000.78 / $60,686.55	Facility	50	$2,431.67	$18,000.78	$60,686.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $599.08 / $3,748.00 / $8,451.00	Facility		$599.08	$3,748.00	$8,451.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,923.04 / $7,281.00 / $49,344.83	Facility	50	$1,923.04	$7,281.00	$49,344.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $691.58 / $1,596.09	Professional		$287.82	$691.58	$1,596.09
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $516.03 / $965.29 / $2,890.59	Professional	50	$516.03	$965.29	$2,890.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $955.30 / $955.30 / $1,704.80	Professional		$955.30	$955.30	$1,704.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $515.84	Facility		$515.84	$515.84	$515.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $676.98 / $1,535.20	Professional		$322.77	$676.98	$1,535.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $295.61 / $653.46 / $1,288.27	Facility		$295.61	$653.46	$1,288.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.61 / $702.35 / $769.54	Professional		$295.61	$702.35	$769.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.04 / $1,076.81 / $1,671.10	Professional		$727.04	$1,076.81	$1,671.10