Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $3,623.00 / $7,799.00	Facility		$542.92	$3,623.00	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,791.97 / $2,791.97 / $2,791.97	Facility	50	$2,791.97	$2,791.97	$2,791.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $419.49 / $643.70	Professional		$305.25	$419.49	$643.70
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 $466.42 / $484.02 / $833.15	Professional		$466.42	$484.02	$833.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $401.24 / $644.33	Professional		$267.58	$401.24	$644.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $576.86 / $576.86 / $743.87	Professional		$576.86	$576.86	$743.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,927.81 / $4,927.81 / $4,927.81	Facility		$4,927.81	$4,927.81	$4,927.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.89 / $373.89 / $400.78	Professional		$373.89	$373.89	$400.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $8,017.00	Facility		$832.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,791.97 / $2,791.97 / $2,791.97	Facility	50	$2,791.97	$2,791.97	$2,791.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $312.57 / $474.39 / $2,032.54	Professional		$312.57	$474.39	$2,032.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $554.79 / $554.79	Professional		$554.79	$554.79	$554.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $416.64 / $644.24	Professional		$269.50	$416.64	$644.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $355.09 / $601.82	Facility		$313.95	$355.09	$601.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $311.62 / $462.69 / $601.82	Professional		$311.62	$462.69	$601.82
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 $377.60 / $540.91 / $880.84	Professional		$377.60	$540.91	$880.84