Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.46 / $2,747.00 / $7,197.00	Facility		$219.46	$2,747.00	$7,197.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,114.84 / $2,326.69 / $4,205.00	Facility	50	$2,114.84	$2,326.69	$4,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $197.56 / $452.47	Professional		$119.02	$197.56	$452.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $296.33 / $543.51 / $1,410.00	Professional	50	$296.33	$543.51	$1,410.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $6,846.16	Facility		$1,772.00	$2,838.15	$6,846.16
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $195.89 / $271.45 / $368.81	Professional		$195.89	$271.45	$368.81
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $293.83 / $407.20 / $553.24	Professional	50	$293.83	$407.20	$553.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $211.18 / $364.72	Professional		$135.82	$211.18	$364.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $315.01 / $322.63	Professional		$237.47	$315.01	$322.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.17 / $1,362.61 / $2,608.92	Facility		$1,045.17	$1,362.61	$2,608.92
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,097.44 / $1,966.37 / $3,423.92	Facility	50	$1,097.44	$1,966.37	$3,423.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $3,623.00 / $7,799.00	Facility		$655.00	$3,623.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,512.70 / $2,326.69 / $4,589.02	Facility	50	$1,512.70	$2,326.69	$4,589.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.86 / $228.99 / $483.74	Professional		$123.86	$228.99	$483.74
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $325.02 / $543.51 / $1,342.50	Professional	50	$325.02	$543.51	$1,342.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $173.30 / $541.40	Professional		$4.00	$173.30	$541.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $215.73 / $372.54	Professional		$139.61	$215.73	$372.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $162.50 / $245.90	Facility		$129.19	$162.50	$245.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.81 / $193.27 / $211.75	Professional		$128.81	$193.27	$211.75
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.35 / $236.84 / $387.89	Professional		$162.35	$236.84	$387.89