Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.42 / $2,240.00 / $7,629.00	Facility		$239.42	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $196.21 / $330.00	Professional		$121.34	$196.21	$330.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.35 / $372.35 / $372.35	Professional	50	$372.35	$372.35	$372.35
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 $208.08 / $215.93 / $381.28	Professional		$208.08	$215.93	$381.28
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $312.12 / $323.89 / $571.90	Professional	50	$312.12	$323.89	$571.90
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 $119.85 / $196.13 / $336.22	Professional		$119.85	$196.13	$336.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $257.13 / $331.58	Professional		$257.13	$257.13	$331.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.07 / $1,335.07 / $4,347.91	Facility		$1,335.07	$1,335.07	$4,347.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $261.83 / $297.61	Professional		$212.48	$261.83	$297.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $8,017.00	Facility		$617.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $209.11 / $588.16	Professional		$124.39	$209.11	$588.16
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $372.35 / $372.35 / $372.35	Professional	50	$372.35	$372.35	$372.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $329.70 / $329.70	Professional		$329.70	$329.70	$329.70
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 $119.85 / $194.63 / $308.08	Professional		$119.85	$194.63	$308.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $145.79 / $371.85	Facility		$126.78	$145.79	$371.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $206.48 / $371.85	Professional		$126.28	$206.48	$371.85
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,734.00 / $4,300.00	Facility		$637.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $248.03 / $416.63	Professional		$191.49	$248.03	$416.63