Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.27 / $6,432.00 / $27,561.95	Facility		$1,002.27	$6,432.00	$27,561.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.61 / $314.11 / $314.11	Facility	52	$275.61	$314.11	$314.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $110.24 / $125.64 / $125.64	Facility	53	$110.24	$125.64	$125.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $695.89 / $2,369.00	Professional		$530.37	$695.89	$2,369.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23,765.15 / $46,478.00 / $77,850.02	Facility		$23,765.15	$46,478.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $506.56 / $966.55 / $1,188.61	Professional		$506.56	$966.55	$1,188.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,570.00 / $8,956.00 / $12,668.00	Facility		$6,570.00	$8,956.00	$12,668.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.65 / $807.15 / $1,198.21	Professional		$585.65	$807.15	$1,198.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $826.18 / $826.18 / $915.99	Professional		$826.18	$826.18	$915.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,305.89 / $20,730.91 / $66,739.00	Facility		$11,305.89	$20,730.91	$66,739.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $6,441.00 / $27,561.95	Facility		$1,013.00	$6,441.00	$27,561.95
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $314.11 / $314.11 / $314.11	Facility	52	$314.11	$314.11	$314.11
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $125.64 / $125.64 / $125.64	Facility	53	$125.64	$125.64	$125.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $535.54 / $812.66 / $2,233.17	Professional		$535.54	$812.66	$2,233.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.20 / $1,152.80 / $2,305.19	Professional		$1,041.20	$1,152.80	$2,305.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,624.00 / $7,463.00 / $23,196.00	Facility		$5,624.00	$7,463.00	$23,196.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $623.03 / $823.37 / $1,299.59	Professional		$623.03	$823.37	$1,299.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $560.20 / $565.20 / $565.20	Facility		$560.20	$565.20	$565.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $565.20 / $590.85	Professional		$540.54	$565.20	$590.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $7,000.00 / $36,783.00	Facility		$2,468.00	$7,000.00	$36,783.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.84 / $785.34 / $1,260.00	Professional		$596.84	$785.34	$1,260.00