Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.59 / $2,326.00 / $7,197.00	Facility		$176.59	$2,326.00	$7,197.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $268.00 / $4,239.84 / $4,239.84	Facility	50	$268.00	$4,239.84	$4,239.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $182.88 / $273.08	Professional		$126.62	$182.88	$273.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $319.39 / $1,479.88	Professional	50	$98.86	$319.39	$1,479.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $950.40 / $1,359.00 / $5,044.89	Facility		$950.40	$1,359.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $161.66 / $275.77	Professional		$155.78	$161.66	$275.77
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $233.67 / $242.48 / $413.65	Professional	50	$233.67	$242.48	$413.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $192.95 / $307.64	Professional		$121.30	$192.95	$307.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.89 / $190.89 / $246.16	Professional		$190.89	$190.89	$246.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $300.33 / $1,671.07	Facility		$300.33	$300.33	$1,671.07
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,907.34 / $1,907.34 / $1,907.34	Facility	50	$1,907.34	$1,907.34	$1,907.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $195.07 / $204.66	Professional		$184.41	$195.07	$204.66
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $231.29 / $292.61 / $304.54	Professional	50	$231.29	$292.61	$304.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,326.00 / $7,799.00	Facility		$594.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $268.00 / $1,131.13 / $4,239.84	Facility	50	$268.00	$1,131.13	$4,239.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $190.56 / $524.47	Professional		$132.83	$190.56	$524.47
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $324.68 / $1,479.88	Professional	50	$98.86	$324.68	$1,479.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.40 / $373.40 / $373.40	Professional		$373.40	$373.40	$373.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $188.50 / $309.12	Professional		$117.98	$188.50	$309.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $122.58 / $154.83 / $206.07	Facility		$122.58	$154.83	$206.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $154.83 / $165.85	Professional		$121.72	$154.83	$165.85
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $187.32 / $305.51	Professional		$148.30	$187.32	$305.51