Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.70 / $3,964.00 / $8,240.00	Facility		$493.70	$3,964.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $410.56 / $1,026.98	Professional		$178.98	$410.56	$1,026.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $452.17 / $607.66 / $906.35	Professional		$452.17	$607.66	$906.35
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $678.26 / $911.48 / $1,359.50	Professional	50	$678.26	$911.48	$1,359.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $333.48 / $333.48	Facility		$333.48	$333.48	$333.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $469.23 / $881.35	Professional		$212.52	$469.23	$881.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $582.92 / $723.92 / $777.72	Professional		$582.92	$723.92	$777.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,488.12 / $8,488.12 / $8,488.12	Facility		$8,488.12	$8,488.12	$8,488.12
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,980.99 / $8,980.99 / $8,980.99	Facility	50	$8,980.99	$8,980.99	$8,980.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $8,247.00	Facility		$976.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $184.75 / $467.13 / $1,286.00	Professional		$184.75	$467.13	$1,286.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $563.10 / $1,291.09	Professional		$5.00	$563.10	$1,291.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $333.48 / $333.48 / $333.48	Facility		$333.48	$333.48	$333.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $492.86 / $884.69	Professional		$214.58	$492.86	$884.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $189.22 / $216.70 / $534.74	Facility		$189.22	$216.70	$534.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.22 / $448.02 / $489.87	Professional		$189.22	$448.02	$489.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.13 / $635.54 / $972.99	Professional		$486.13	$635.54	$972.99