Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $2,747.00 / $7,263.00	Facility		$162.58	$2,747.00	$7,263.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,323.42 / $2,091.98 / $16,856.50	Facility	50	$1,323.42	$2,091.98	$16,856.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $143.18 / $246.32	Professional		$129.33	$143.18	$246.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $232.68 / $333.49	Professional		$150.33	$232.68	$333.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $196.95 / $308.85	Professional		$145.94	$196.95	$308.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $238.49 / $241.66	Professional		$179.82	$238.49	$241.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,567.03 / $2,691.15 / $13,963.87	Facility		$1,567.03	$2,691.15	$13,963.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $467.04 / $467.04 / $1,478.80	Facility	50	$467.04	$467.04	$1,478.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,630.25 / $8,017.00	Facility		$657.00	$3,630.25	$8,017.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $748.80 / $2,091.98 / $26,857.54	Facility	50	$748.80	$2,091.98	$26,857.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.59 / $162.58 / $778.87	Professional		$134.59	$162.58	$778.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $191.30 / $394.60	Professional		$4.00	$191.30	$394.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $197.78 / $329.16	Professional		$152.19	$197.78	$329.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $148.62 / $180.36	Facility		$148.62	$148.62	$180.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $148.62 / $180.36	Professional		$145.24	$148.62	$180.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $3,742.00 / $10,438.16	Facility		$1,214.00	$3,742.00	$10,438.16
United Facility/Professional Professional Modifier Low / Median / High Price $127.62 / $182.41 / $304.64	Professional		$127.62	$182.41	$304.64