Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.84 / $3,839.00 / $8,240.00	Facility		$594.84	$3,839.00	$8,240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,279.52 / $3,279.52 / $13,496.75	Facility	50	$3,279.52	$3,279.52	$13,496.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.92 / $524.14 / $880.45	Professional		$402.92	$524.14	$880.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $780.44 / $3,630.00	Professional	50	$78.04	$780.44	$3,630.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $523.38 / $543.12 / $882.28	Professional		$523.38	$543.12	$882.28
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $785.06 / $814.69 / $1,323.42	Professional	50	$785.06	$814.69	$1,323.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.20 / $500.53 / $792.98	Professional		$368.20	$500.53	$792.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $639.99 / $639.99 / $825.28	Professional		$639.99	$639.99	$825.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.47 / $4,460.13 / $7,352.05	Facility		$901.47	$4,460.13	$7,352.05
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,984.85 / $3,215.85 / $11,186.53	Facility	50	$1,984.85	$3,215.85	$11,186.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.99 / $524.04 / $885.81	Professional		$491.99	$524.04	$885.81
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $737.99 / $780.66 / $791.46	Professional	50	$737.99	$780.66	$791.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,597.00 / $8,240.00	Facility		$976.00	$4,597.00	$8,240.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,722.50 / $6,239.00 / $13,496.75	Facility	50	$2,722.50	$6,239.00	$13,496.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $414.57 / $534.05 / $2,266.69	Professional		$414.57	$534.05	$2,266.69
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $780.44 / $3,630.00	Professional	50	$78.04	$780.44	$3,630.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $592.00 / $592.00	Professional		$592.00	$592.00	$592.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $378.16 / $501.86 / $792.98	Professional		$378.16	$501.86	$792.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $414.14 / $415.23 / $529.19	Facility		$414.14	$415.23	$529.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $411.33 / $512.91 / $558.07	Professional		$411.33	$512.91	$558.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.22 / $561.91 / $1,014.32	Professional		$444.22	$561.91	$1,014.32