Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.18 / $2,266.00 / $7,629.00	Facility		$481.18	$2,266.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.41 / $384.33 / $658.22	Professional		$242.41	$384.33	$658.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $515.21 / $721.29 / $1,231.41	Professional	50	$515.21	$721.29	$1,231.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $414.17 / $429.80 / $759.72	Professional		$414.17	$429.80	$759.72
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $621.26 / $644.70 / $1,139.59	Professional	50	$621.26	$644.70	$1,139.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $395.43 / $665.75	Professional		$227.00	$395.43	$665.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $509.28 / $509.28 / $656.73	Professional		$509.28	$509.28	$656.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.06 / $412.06 / $780.00	Facility		$412.06	$412.06	$780.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $432.12 / $561.42	Professional		$304.74	$432.12	$561.42
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $648.17 / $648.17 / $743.73	Professional	50	$648.17	$648.17	$743.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $8,017.00	Facility		$617.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $409.80 / $1,180.40	Professional		$244.86	$409.80	$1,180.40
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $515.21 / $721.29 / $1,231.41	Professional	50	$515.21	$721.29	$1,231.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.60 / $583.60 / $583.60	Professional		$583.60	$583.60	$583.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $389.47 / $593.53	Professional		$227.46	$389.47	$593.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $243.68 / $268.10 / $673.20	Facility		$243.68	$268.10	$673.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $411.13 / $673.20	Professional		$242.76	$411.13	$673.20
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $4,300.00	Facility		$144.00	$650.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $494.27 / $793.83	Professional		$372.08	$494.27	$793.83