Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,197.00	Facility		$428.00	$2,070.00	$7,197.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,105.76 / $1,105.76 / $1,105.76	Facility	50	$1,105.76	$1,105.76	$1,105.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $149.59 / $296.86	Professional		$99.12	$149.59	$296.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $152.85 / $273.74 / $645.15	Professional	50	$152.85	$273.74	$645.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $229.34 / $354.00	Professional		$158.58	$229.34	$354.00
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $237.86 / $344.00 / $530.96	Professional	50	$237.86	$344.00	$530.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $184.66	Facility		$184.66	$184.66	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $190.29 / $311.07	Professional		$118.00	$190.29	$311.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $251.86 / $324.79	Professional		$188.03	$251.86	$324.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.83 / $3,153.59 / $3,198.35	Facility		$3,108.83	$3,153.59	$3,198.35
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,795.50 / $2,795.50 / $4,797.53	Facility	50	$2,795.50	$2,795.50	$4,797.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,105.76 / $1,105.76 / $1,105.76	Facility	50	$1,105.76	$1,105.76	$1,105.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $182.49 / $566.87	Professional		$103.56	$182.49	$566.87
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $152.85 / $273.74 / $645.15	Professional	50	$152.85	$273.74	$645.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $210.30 / $338.00	Professional		$169.70	$210.30	$338.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $184.66	Facility		$184.66	$184.66	$184.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $190.95 / $311.58	Professional		$117.63	$190.95	$311.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $125.44 / $203.10	Facility		$106.19	$125.44	$203.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $155.05 / $169.11	Professional		$106.19	$155.05	$169.11
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 $160.59 / $223.91 / $318.08	Professional		$160.59	$223.91	$318.08