Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.39 / $2,747.00 / $8,017.00	Facility		$642.39	$2,747.00	$8,017.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $459.00 / $459.00 / $459.00	Facility	50	$459.00	$459.00	$459.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.96 / $554.72 / $759.76	Professional		$439.96	$554.72	$759.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
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 $566.41 / $587.79 / $1,022.92	Professional		$566.41	$587.79	$1,022.92
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $849.62 / $881.68 / $1,534.39	Professional	50	$849.62	$881.68	$1,534.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.03 / $558.16 / $882.00	Professional		$397.03	$558.16	$882.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $692.22 / $692.22 / $892.64	Professional		$692.22	$692.22	$892.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,532.30 / $4,818.31 / $7,806.00	Facility		$2,532.30	$4,818.31	$7,806.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $936.95 / $936.95 / $2,795.11	Facility	50	$936.95	$936.95	$2,795.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.66 / $556.05 / $707.82	Professional		$525.66	$556.05	$707.82
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $788.49 / $834.09 / $840.48	Professional	50	$788.49	$834.09	$840.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,885.03 / $8,017.00	Facility		$657.00	$2,885.03	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $459.00 / $459.00 / $459.00	Facility	50	$459.00	$459.00	$459.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $442.33 / $572.23 / $1,907.89	Professional		$442.33	$572.23	$1,907.89
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $634.20 / $634.20 / $634.20	Professional		$634.20	$634.20	$634.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $406.94 / $558.16 / $878.55	Professional		$406.94	$558.16	$878.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $443.42 / $491.49 / $563.55	Facility		$443.42	$491.49	$563.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $552.16 / $602.57	Professional		$441.19	$552.16	$602.57
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 $514.19 / $649.87 / $1,124.67	Professional		$514.19	$649.87	$1,124.67