Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.85 / $2,747.00 / $8,017.00	Facility		$301.85	$2,747.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,058.00 / $1,058.00 / $1,058.00	Facility	50	$1,058.00	$1,058.00	$1,058.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $233.60 / $358.66	Professional		$130.52	$233.60	$358.66
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 $255.47 / $265.11 / $472.37	Professional		$255.47	$265.11	$472.37
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $383.21 / $397.67 / $708.57	Professional	50	$383.21	$397.67	$708.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $238.27 / $362.35	Professional		$119.45	$238.27	$362.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $317.57 / $409.52	Professional		$317.57	$317.57	$409.52
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,898.14 / $2,898.14 / $2,898.14	Facility	50	$2,898.14	$2,898.14	$2,898.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,120.00 / $8,017.00	Facility		$918.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,058.00 / $1,058.00 / $1,058.00	Facility	50	$1,058.00	$1,058.00	$1,058.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $264.29 / $1,544.00	Professional		$131.84	$264.29	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $386.70 / $481.27	Professional		$185.66	$386.70	$481.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $233.53 / $361.72	Professional		$123.71	$233.53	$361.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $259.31 / $467.42	Facility		$131.88	$259.31	$467.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $256.11 / $467.42	Professional		$131.10	$256.11	$467.42
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $314.11 / $490.20	Professional		$232.51	$314.11	$490.20