Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.27 / $2,938.00 / $7,799.00	Facility		$644.27	$2,938.00	$7,799.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,109.00 / $2,109.00 / $2,109.00	Facility	50	$2,109.00	$2,109.00	$2,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $540.49 / $957.21	Professional		$400.26	$540.49	$957.21
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 $570.23 / $591.75 / $1,026.99	Professional		$570.23	$591.75	$1,026.99
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $855.34 / $887.62 / $1,540.49	Professional	50	$855.34	$887.62	$1,540.49
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 $386.86 / $557.29 / $863.13	Professional		$386.86	$557.29	$863.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $697.63 / $697.63 / $899.61	Professional		$697.63	$697.63	$899.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,999.32 / $2,999.32 / $5,600.55	Facility		$2,999.32	$2,999.32	$5,600.55
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,215.85 / $3,215.85 / $3,215.85	Facility	50	$3,215.85	$3,215.85	$3,215.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.35 / $717.20 / $753.91	Professional		$546.35	$717.20	$753.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,838.00 / $8,017.00	Facility		$768.00	$3,838.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,109.00 / $2,109.00 / $2,109.00	Facility	50	$2,109.00	$2,109.00	$2,109.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.68 / $567.97 / $1,544.00	Professional		$426.68	$567.97	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $639.20 / $639.20 / $639.20	Professional		$639.20	$639.20	$639.20
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 $396.11 / $557.29 / $863.13	Professional		$396.11	$557.29	$863.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.19 / $434.65 / $565.54	Facility		$426.19	$434.65	$565.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.19 / $542.57 / $605.09	Professional		$426.19	$542.57	$605.09
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 $506.09 / $648.61 / $1,009.84	Professional		$506.09	$648.61	$1,009.84