Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,691.53 / $8,317.64	Facility		$758.58	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,548.82	Professional		$537.03	$724.44	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $2,137.96	Professional	50	$1,148.15	$1,148.15	$2,137.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $691.83 / $1,230.27	Professional		$676.08	$691.83	$1,230.27
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,000.00 / $1,047.13 / $1,819.70	Professional	50	$1,000.00	$1,047.13	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,122.02	Professional		$501.19	$676.08	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,174.90	Professional		$537.03	$707.95	$1,174.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $10,232.93	Facility		$1,348.96	$1,659.59	$10,232.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $870.96	Professional		$676.08	$724.44	$870.96
Highmark BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	54	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $8,317.64	Facility		$645.65	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,659.59	Professional		$549.54	$741.31	$1,659.59
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $2,137.96	Professional	50	$1,148.15	$1,148.15	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,348.96	Professional		$630.96	$630.96	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $660.69	Facility		$309.03	$478.63	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $562.34 / $676.08	Professional		$309.03	$562.34	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $4,265.80	Facility		$912.01	$2,570.40	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,174.90	Professional		$512.86	$676.08	$1,174.90