Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.29 / $4,239.84 / $8,240.00	Facility		$689.29	$4,239.84	$8,240.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,787.00 / $4,787.00 / $7,961.00	Facility	50	$4,787.00	$4,787.00	$7,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.37 / $556.26 / $814.43	Professional		$421.37	$556.26	$814.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $218.09 / $731.34	Professional	50	$210.69	$218.09	$731.34
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 $600.28 / $622.92 / $1,075.47	Professional		$600.28	$622.92	$1,075.47
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $900.42 / $934.40 / $1,613.22	Professional	50	$900.42	$934.40	$1,613.22
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 $400.84 / $568.98 / $893.84	Professional		$400.84	$568.98	$893.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $735.62 / $735.62 / $948.60	Professional		$735.62	$735.62	$948.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,215.85 / $3,215.85 / $12,749.91	Facility		$3,215.85	$3,215.85	$12,749.91
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.41 / $7,222.07 / $13,279.88	Facility	50	$1,258.41	$7,222.07	$13,279.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.77 / $736.84 / $954.62	Professional		$548.77	$736.84	$954.62
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $778.16 / $1,354.83 / $1,409.24	Professional	50	$778.16	$1,354.83	$1,409.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,813.85 / $8,427.00	Facility		$1,013.00	$4,813.85	$8,427.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,787.00 / $4,787.00 / $7,961.00	Facility	50	$4,787.00	$4,787.00	$7,961.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.17 / $586.25 / $1,992.00	Professional		$436.17	$586.25	$1,992.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $218.09 / $731.34	Professional	50	$210.69	$218.09	$731.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $679.10 / $679.10 / $679.10	Professional		$679.10	$679.10	$679.10
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 $409.55 / $579.11 / $893.84	Professional		$409.55	$579.11	$893.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $437.31 / $466.82 / $601.09	Facility		$437.31	$466.82	$601.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $434.94 / $591.41 / $644.02	Professional		$434.94	$591.41	$644.02
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 $522.85 / $666.23 / $1,070.50	Professional		$522.85	$666.23	$1,070.50