Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $3,066.00 / $7,629.00	Facility		$208.02	$3,066.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,150.67 / $2,150.67 / $4,747.00	Facility	50	$2,150.67	$2,150.67	$4,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $178.97 / $349.70	Professional		$106.13	$178.97	$349.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $246.76 / $506.10 / $693.25	Professional	50	$246.76	$506.10	$693.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,751.04 / $2,594.00 / $5,296.01	Facility		$1,751.04	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $249.76 / $348.58	Professional		$183.81	$249.76	$348.58
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $277.39 / $375.32 / $522.88	Professional	50	$277.39	$375.32	$522.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $200.77 / $344.69	Professional		$123.27	$200.77	$344.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.72 / $298.16 / $305.57	Professional		$224.72	$298.16	$305.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.84 / $1,066.17 / $1,113.50	Facility		$1,030.84	$1,066.17	$1,113.50
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $752.14 / $752.14 / $3,815.27	Facility	50	$752.14	$752.14	$3,815.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,838.00 / $8,017.00	Facility		$749.00	$3,838.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,150.67 / $2,150.67 / $4,747.00	Facility	50	$2,150.67	$2,150.67	$4,747.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $200.26 / $462.17	Professional		$114.54	$200.26	$462.17
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $240.00 / $622.08 / $693.25	Professional	50	$240.00	$622.08	$693.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $156.40 / $514.10	Professional		$4.00	$156.40	$514.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $205.44 / $350.21	Professional		$128.30	$205.44	$350.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.41 / $122.19 / $189.39	Facility		$117.41	$122.19	$189.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $182.79 / $200.38	Professional		$116.96	$182.79	$200.38
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $223.86 / $362.08	Professional		$155.33	$223.86	$362.08