Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.24 / $3,964.00 / $8,240.00	Facility		$675.24	$3,964.00	$8,240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,885.03 / $2,885.03 / $2,885.03	Facility	50	$2,885.03	$2,885.03	$2,885.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $546.16 / $798.35	Professional		$410.24	$546.16	$798.35
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 $585.48 / $607.57 / $1,053.90	Professional		$585.48	$607.57	$1,053.90
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 $372.35 / $528.50 / $849.30	Professional		$372.35	$528.50	$849.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $719.68 / $719.68 / $928.05	Professional		$719.68	$719.68	$928.05
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,449.07 / $1,449.07 / $1,449.07	Facility	50	$1,449.07	$1,449.07	$1,449.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.21 / $517.21 / $517.21	Professional		$517.21	$517.21	$517.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $8,404.00	Facility		$976.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,885.03 / $2,885.03 / $2,885.03	Facility	50	$2,885.03	$2,885.03	$2,885.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $414.38 / $598.96 / $2,843.00	Professional		$414.38	$598.96	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $763.30 / $763.30 / $763.30	Professional		$763.30	$763.30	$763.30
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 $384.89 / $535.15 / $841.19	Professional		$384.89	$535.15	$841.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $411.36 / $430.16 / $807.34	Facility		$411.36	$430.16	$807.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $408.92 / $578.15 / $807.34	Professional		$408.92	$578.15	$807.34
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 $469.60 / $677.87 / $1,110.71	Professional		$469.60	$677.87	$1,110.71