Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $1,544.00 / $7,581.97	Facility		$138.74	$1,544.00	$7,581.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.36 / $1,567.80 / $12,321.42	Facility	50	$1,106.36	$1,567.80	$12,321.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $146.68 / $331.14	Professional		$107.48	$146.68	$331.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $212.65 / $512.03 / $953.75	Professional	50	$212.65	$512.03	$953.75
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 $135.41 / $196.49 / $283.83	Professional		$135.41	$196.49	$283.83
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $203.12 / $301.52 / $425.81	Professional	50	$203.12	$301.52	$425.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $165.00 / $271.11	Professional		$121.64	$165.00	$271.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $218.81 / $279.79	Professional		$161.99	$218.81	$279.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.92 / $929.06 / $1,652.24	Facility		$457.92	$929.06	$1,652.24
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $372.63 / $1,164.00 / $2,484.71	Facility	50	$372.63	$1,164.00	$2,484.71
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $253.49 / $253.49 / $253.49	Professional	50	$253.49	$253.49	$253.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,569.00 / $7,581.97	Facility		$379.00	$1,569.00	$7,581.97
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.36 / $1,567.80 / $12,321.42	Facility	50	$1,106.36	$1,567.80	$12,321.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $168.69 / $410.92	Professional		$114.61	$168.69	$410.92
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $193.53 / $354.33 / $953.75	Professional	50	$193.53	$354.33	$953.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $209.00 / $288.50	Professional		$164.66	$209.00	$288.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $168.51 / $277.33	Professional		$121.64	$168.51	$277.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $132.25 / $180.34	Facility		$114.86	$132.25	$180.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $128.94 / $144.65	Professional		$114.86	$128.94	$144.65
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 $132.61 / $182.74 / $265.42	Professional		$132.61	$182.74	$265.42