Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.70 / $4,223.00 / $8,427.00	Facility		$247.70	$4,223.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $232.57 / $985.00	Professional		$125.06	$232.57	$985.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $1,278.00	Professional	50	$474.95	$474.95	$1,278.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $266.91 / $371.12	Professional		$194.62	$266.91	$371.12
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $291.93 / $409.57 / $556.64	Professional	50	$291.93	$409.57	$556.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $257.42 / $915.00	Professional		$137.51	$257.42	$915.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $353.19 / $360.35	Professional		$266.26	$353.19	$360.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,176.04 / $6,649.71 / $8,312.21	Facility		$2,176.04	$6,649.71	$8,312.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,342.00 / $9,534.00	Facility		$1,020.00	$5,342.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $260.33 / $1,100.90	Professional		$133.26	$260.33	$1,100.90
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $1,278.00	Professional	50	$474.95	$474.95	$1,278.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $777.10 / $1,035.70	Professional		$5.00	$777.10	$1,035.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $264.06 / $915.00	Professional		$138.91	$264.06	$915.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.71 / $222.25 / $784.16	Facility		$121.71	$222.25	$784.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $218.11 / $273.97	Professional		$121.71	$218.11	$273.97
United Facility/Professional Facility Modifier Low / Median / High Price $889.00 / $2,391.00 / $4,789.00	Facility		$889.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.03 / $296.23 / $790.04	Professional		$199.03	$296.23	$790.04