Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.87 / $1,499.00 / $6,012.00	Facility		$334.87	$1,499.00	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.72 / $251.15 / $265.31	Facility	54	$233.72	$251.15	$265.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $334.87 / $640.26	Professional		$274.64	$334.87	$640.26
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 $344.07 / $460.83 / $592.83	Professional		$344.07	$460.83	$592.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.30 / $547.30 / $547.30	Facility		$547.30	$547.30	$547.30
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $386.47 / $641.96	Professional		$289.14	$386.47	$641.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $413.82 / $557.52 / $714.78	Professional		$413.82	$557.52	$714.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $600.00 / $1,118.94	Facility		$257.00	$600.00	$1,118.94
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $191.41 / $844.80 / $1,037.00	Facility	54	$191.41	$844.80	$1,037.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.09 / $369.81 / $544.65	Professional		$331.09	$369.81	$544.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $334.87 / $1,499.00 / $7,175.00	Facility		$334.87	$1,499.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $251.15 / $251.15 / $265.31	Facility	54	$251.15	$251.15	$265.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $385.10 / $710.54	Professional		$286.02	$385.10	$710.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.20 / $365.20 / $706.40	Professional		$365.20	$365.20	$706.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $547.30 / $547.30 / $547.30	Facility		$547.30	$547.30	$547.30
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $291.70 / $389.51 / $650.71	Professional		$291.70	$389.51	$650.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $313.91 / $330.98	Facility		$298.83	$313.91	$330.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $306.97 / $323.97 / $355.69	Professional		$306.97	$323.97	$355.69
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 $290.33 / $395.07 / $612.09	Professional		$290.33	$395.07	$612.09