Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.07 / $3,839.00 / $7,629.00	Facility		$413.07	$3,839.00	$7,629.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,635.58 / $2,346.46 / $8,569.57	Facility	50	$1,635.58	$2,346.46	$8,569.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.77 / $360.48 / $685.62	Professional		$255.77	$360.48	$685.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $500.00 / $851.42 / $2,257.21	Professional	50	$500.00	$851.42	$2,257.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,463.00 / $11,048.00	Facility		$2,800.00	$7,463.00	$11,048.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $376.34 / $593.26 / $709.31	Professional		$376.34	$593.26	$709.31
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $564.51 / $889.89 / $1,063.95	Professional	50	$564.51	$889.89	$1,063.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.52 / $425.89 / $668.05	Professional		$297.52	$425.89	$668.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $450.35 / $597.37 / $604.75	Professional		$450.35	$597.37	$604.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,959.72 / $3,815.27 / $6,868.95	Facility		$2,959.72	$3,815.27	$6,868.95
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,198.50 / $2,821.03 / $8,863.56	Facility	50	$1,198.50	$2,821.03	$8,863.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $3,839.00 / $7,984.48	Facility		$594.00	$3,839.00	$7,984.48
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,635.58 / $3,234.89 / $8,569.57	Facility	50	$1,635.58	$3,234.89	$8,569.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $268.55 / $401.00 / $917.03	Professional		$268.55	$401.00	$917.03
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $500.00 / $851.42 / $2,257.21	Professional	50	$500.00	$851.42	$2,257.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $374.40 / $1,002.90	Professional		$5.00	$374.40	$1,002.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $307.77 / $435.29 / $697.29	Professional		$307.77	$435.29	$697.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.41 / $329.20 / $431.95	Facility		$282.41	$329.20	$431.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.41 / $366.73 / $400.13	Professional		$282.41	$366.73	$400.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $467.75 / $730.09	Professional		$331.37	$467.75	$730.09