Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $1,819.00 / $7,175.00	Facility		$248.71	$1,819.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $169.73 / $186.53 / $192.14	Facility	54	$169.73	$186.53	$192.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $239.42 / $416.13	Professional		$207.49	$239.42	$416.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $252.81 / $418.94	Professional		$243.62	$252.81	$418.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $278.24 / $278.24	Facility		$278.24	$278.24	$278.24
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $283.79 / $475.36	Professional		$207.15	$283.79	$475.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $292.16 / $394.43 / $504.64	Professional		$292.16	$394.43	$504.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.90 / $620.89 / $2,444.00	Facility		$494.90	$620.89	$2,444.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $246.23 / $270.86	Professional		$167.14	$246.23	$270.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,070.00 / $8,017.00	Facility		$540.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $186.53 / $186.53 / $192.14	Facility	54	$186.53	$186.53	$192.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $212.87 / $266.83 / $529.74	Professional		$212.87	$266.83	$529.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $251.30 / $495.50	Professional		$251.30	$251.30	$495.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $278.24 / $278.24	Facility		$278.24	$278.24	$278.24
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $286.00 / $483.28	Professional		$219.95	$286.00	$483.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.12 / $233.54 / $240.82	Facility		$184.12	$233.54	$240.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.61 / $235.48 / $258.27	Professional		$223.61	$235.48	$258.27
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.81 / $280.02 / $439.99	Professional		$205.81	$280.02	$439.99