Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,569.00 / $8,104.00	Facility		$131.83	$1,569.00	$8,104.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,243.24 / $3,243.24 / $3,243.24	Facility	50	$3,243.24	$3,243.24	$3,243.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $133.24 / $230.27	Professional		$106.68	$133.24	$230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $915.00	Professional	50	$172.38	$172.38	$915.00
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 $131.03 / $135.97 / $262.19	Professional		$131.03	$135.97	$262.19
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $196.54 / $203.96 / $393.22	Professional	50	$196.54	$203.96	$393.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $131.00 / $236.66	Professional		$100.95	$131.00	$236.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $159.78 / $206.04	Professional		$159.78	$159.78	$206.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.61 / $1,306.75 / $1,380.58	Facility		$695.61	$1,306.75	$1,380.58
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $947.13 / $947.13 / $1,478.80	Facility	50	$947.13	$947.13	$1,478.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.31 / $163.81 / $204.23	Professional		$147.31	$163.81	$204.23
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $225.26 / $252.29 / $275.24	Professional	50	$225.26	$252.29	$275.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,839.00 / $8,247.00	Facility		$540.00	$3,839.00	$8,247.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,243.24 / $3,243.24 / $3,243.24	Facility	50	$3,243.24	$3,243.24	$3,243.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $141.01 / $388.00	Professional		$114.04	$141.01	$388.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $188.61 / $915.00	Professional	50	$172.38	$188.61	$915.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $315.00 / $320.50	Professional		$145.49	$315.00	$320.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $131.30 / $221.65	Professional		$100.95	$131.30	$221.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $130.25 / $252.29	Facility		$116.65	$130.25	$252.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $129.07 / $252.29	Professional		$115.78	$129.07	$252.29
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 $110.65 / $144.06 / $245.00	Professional		$110.65	$144.06	$245.00