Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.88 / $2,445.90 / $5,193.66	Facility		$456.88	$2,445.90	$5,193.66
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,538.39 / $3,158.25 / $7,033.75	Facility	50	$1,538.39	$3,158.25	$7,033.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $384.94 / $744.26	Professional		$183.92	$384.94	$744.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $624.27 / $1,997.78	Professional	50	$315.20	$624.27	$1,997.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $417.99 / $632.16 / $866.55	Professional		$417.99	$632.16	$866.55
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $626.98 / $948.66 / $1,299.82	Professional	50	$626.98	$948.66	$1,299.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $326.12	Facility		$326.12	$326.12	$326.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $405.69 / $760.84	Professional		$217.00	$405.69	$760.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $667.17 / $866.93	Professional		$118.59	$667.17	$866.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.01 / $4,645.47 / $7,937.89	Facility		$1,993.01	$4,645.47	$7,937.89
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $890.33 / $5,348.95 / $10,705.46	Facility	50	$890.33	$5,348.95	$10,705.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.34 / $456.86 / $459.09	Professional		$439.34	$456.86	$459.09
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $287.66 / $287.66 / $659.01	Professional	50	$287.66	$287.66	$659.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $399.48 / $2,326.00 / $5,527.43	Facility		$399.48	$2,326.00	$5,527.43
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,057.00 / $3,327.00 / $7,033.75	Facility	50	$2,057.00	$3,327.00	$7,033.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $407.83 / $980.81	Professional		$193.89	$407.83	$980.81
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $337.35 / $624.27 / $1,997.78	Professional	50	$337.35	$624.27	$1,997.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $502.84 / $1,193.00	Professional		$4.00	$502.84	$1,193.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $326.12	Facility		$326.12	$326.12	$326.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $410.62 / $768.82	Professional		$217.00	$410.62	$768.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $212.77 / $421.44	Facility		$185.90	$212.77	$421.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $396.86 / $454.06	Professional		$185.90	$396.86	$454.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.44 / $551.83 / $803.47	Professional		$402.44	$551.83	$803.47