Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.54 / $1,746.00 / $7,175.00	Facility		$163.54	$1,746.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $126.76 / $222.27	Professional		$100.70	$126.76	$222.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.06 / $195.48 / $931.50	Professional	50	$85.06	$195.48	$931.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $134.31 / $228.94	Professional		$129.43	$134.31	$228.94
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $194.14 / $201.47 / $343.43	Professional	50	$194.14	$201.47	$343.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $129.32 / $226.21	Professional		$94.42	$129.32	$226.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.26 / $158.26 / $204.07	Professional		$158.26	$158.26	$204.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.71 / $597.71 / $597.71	Facility		$597.71	$597.71	$597.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $162.19 / $169.16	Professional		$141.65	$162.19	$169.16
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $212.48 / $242.22 / $244.34	Professional	50	$212.48	$242.22	$244.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $193.37 / $1,978.00 / $7,197.00	Facility		$193.37	$1,978.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $135.31 / $310.74	Professional		$104.17	$135.31	$310.74
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $85.06 / $195.48 / $931.50	Professional	50	$85.06	$195.48	$931.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.80 / $305.80 / $305.80	Professional		$305.80	$305.80	$305.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $129.72 / $214.66	Professional		$95.52	$129.72	$214.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.25 / $128.06 / $154.38	Facility		$112.25	$128.06	$154.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $126.77 / $154.38	Professional		$111.32	$126.77	$154.38
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 $100.54 / $136.24 / $239.99	Professional		$100.54	$136.24	$239.99