Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.53 / $4,264.00 / $8,240.00	Facility		$818.53	$4,264.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.33 / $642.60 / $1,016.98	Professional		$471.33	$642.60	$1,016.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $707.01 / $707.01	Professional	50	$707.01	$707.01	$707.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $714.89 / $741.86 / $1,290.00	Professional		$714.89	$741.86	$1,290.00
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,072.33 / $1,112.79 / $1,935.00	Professional	50	$1,072.33	$1,112.79	$1,935.00
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 $444.60 / $656.99 / $1,058.10	Professional		$444.60	$656.99	$1,058.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $877.78 / $877.78 / $1,131.92	Professional		$877.78	$877.78	$1,131.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,215.85 / $3,215.85 / $10,199.95	Facility		$3,215.85	$3,215.85	$10,199.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.76 / $734.95 / $898.84	Professional		$659.76	$734.95	$898.84
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $975.53 / $975.53 / $975.53	Professional	50	$975.53	$975.53	$975.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $476.79 / $706.10 / $2,005.26	Professional		$476.79	$706.10	$2,005.26
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $707.01 / $707.01	Professional	50	$707.01	$707.01	$707.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.40 / $498.40 / $498.40	Professional		$498.40	$498.40	$498.40
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 $465.73 / $667.76 / $1,020.52	Professional		$465.73	$667.76	$1,020.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $389.04 / $516.35 / $713.95	Facility		$389.04	$516.35	$713.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $481.55 / $548.62 / $766.13	Professional		$481.55	$548.62	$766.13
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 $570.07 / $792.68 / $1,406.68	Professional		$570.07	$792.68	$1,406.68