Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.48 / $2,180.00 / $7,317.00	Facility		$496.48	$2,180.00	$7,317.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.74 / $337.64 / $372.36	Facility	54	$329.74	$337.64	$372.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.22 / $450.19 / $702.55	Professional		$394.22	$450.19	$702.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $480.46 / $498.59 / $835.41	Professional		$480.46	$498.59	$835.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.07 / $736.07 / $736.07	Facility		$736.07	$736.07	$736.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.18 / $540.12 / $875.50	Professional		$412.18	$540.12	$875.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $574.44 / $775.79 / $992.22	Professional		$574.44	$775.79	$992.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.60 / $2,244.06 / $9,239.27	Facility		$882.60	$2,244.06	$9,239.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $461.75 / $491.14	Professional		$461.75	$461.75	$491.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $622.39 / $2,450.00 / $8,017.00	Facility		$622.39	$2,450.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $337.64 / $337.64 / $372.36	Facility	54	$337.64	$337.64	$372.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $418.68 / $496.48 / $1,022.75	Professional		$418.68	$496.48	$1,022.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $577.20 / $577.20 / $985.90	Professional		$577.20	$577.20	$985.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $736.07 / $736.07 / $736.07	Facility		$736.07	$736.07	$736.07
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $421.40 / $546.69 / $884.58	Professional		$421.40	$546.69	$884.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $423.80 / $463.49 / $500.22	Facility		$423.80	$463.49	$500.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $460.99 / $498.58	Professional		$423.80	$460.99	$498.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.94 / $565.47 / $874.85	Professional		$422.94	$565.47	$874.85