Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $1,538.39 / $3,365.15	Facility		$209.25	$1,538.39	$3,365.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $148.00 / $2,524.48 / $4,220.25	Facility	50	$148.00	$2,524.48	$4,220.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $190.55 / $419.26	Professional		$62.36	$190.55	$419.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $211.03 / $302.07	Professional	50	$93.56	$211.03	$302.07
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 $240.41 / $291.83 / $404.01	Professional		$240.41	$291.83	$404.01
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $360.61 / $437.76 / $606.02	Professional	50	$360.61	$437.76	$606.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $114.34	Facility		$114.34	$114.34	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $155.05 / $388.76	Professional		$72.54	$155.05	$388.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $388.31 / $503.52	Professional		$118.59	$388.31	$503.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $810.93 / $2,554.34	Facility		$408.60	$810.93	$2,554.34
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $521.07 / $521.07 / $521.07	Facility	50	$521.07	$521.07	$521.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $167.37 / $256.25	Professional		$67.45	$167.37	$256.25
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $384.38 / $384.38 / $384.38	Professional	50	$384.38	$384.38	$384.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $1,340.00 / $4,761.00	Facility		$95.25	$1,340.00	$4,761.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $148.00 / $2,377.17 / $4,220.25	Facility	50	$148.00	$2,377.17	$4,220.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $191.53 / $548.17	Professional		$63.06	$191.53	$548.17
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $99.32 / $211.03 / $551.20	Professional	50	$99.32	$211.03	$551.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $346.60 / $715.20	Professional		$215.50	$346.60	$715.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $114.34	Facility		$114.34	$114.34	$114.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $159.94 / $391.93	Professional		$72.54	$159.94	$391.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $65.17 / $246.65	Facility		$64.19	$65.17	$246.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $180.37 / $267.58	Professional		$64.19	$180.37	$267.58
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 $181.89 / $257.14 / $383.09	Professional		$181.89	$257.14	$383.09