Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.51 / $3,142.00 / $7,799.00	Facility		$531.51	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.18 / $399.21 / $631.64	Professional		$290.18	$399.21	$631.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $454.92 / $472.09 / $816.57	Professional		$454.92	$472.09	$816.57
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $682.38 / $708.13 / $1,224.86	Professional	50	$682.38	$708.13	$1,224.86
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 $252.00 / $379.20 / $624.70	Professional		$252.00	$379.20	$624.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $563.07 / $563.07 / $726.10	Professional		$563.07	$563.07	$726.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.59 / $377.59 / $377.59	Professional		$377.59	$377.59	$377.59
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 Professional Modifier Low / Median / High Price $296.02 / $447.61 / $1,749.00	Professional		$296.02	$447.61	$1,749.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $526.20 / $526.20 / $526.20	Professional		$526.20	$526.20	$526.20
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 $254.11 / $396.73 / $624.26	Professional		$254.11	$396.73	$624.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $298.19 / $335.16 / $577.76	Facility		$298.19	$335.16	$577.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.75 / $453.05 / $577.76	Professional		$295.75	$453.05	$577.76
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 $344.71 / $526.39 / $814.06	Professional		$344.71	$526.39	$814.06