Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.36 / $1,819.00 / $7,175.00	Facility		$287.36	$1,819.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.10 / $206.98 / $545.92	Facility	54	$190.10	$206.98	$545.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $268.47 / $499.28	Professional		$232.63	$268.47	$499.28
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 $280.33 / $331.93 / $483.88	Professional		$280.33	$331.93	$483.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.36 / $450.36 / $450.36	Facility		$450.36	$450.36	$450.36
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $317.35 / $525.61	Professional		$238.16	$317.35	$525.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.68 / $453.54 / $581.53	Professional		$336.68	$453.54	$581.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.39 / $432.39 / $878.15	Facility		$432.39	$432.39	$878.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $299.27 / $335.18	Professional		$269.23	$299.27	$335.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $318.99 / $1,901.00 / $7,799.00	Facility		$318.99	$1,901.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $206.98 / $215.52 / $545.92	Facility	54	$206.98	$215.52	$545.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $316.08 / $610.59	Professional		$235.91	$316.08	$610.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $329.20 / $577.40	Professional		$329.20	$329.20	$577.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $450.36 / $450.36 / $450.36	Facility		$450.36	$450.36	$450.36
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.78 / $323.06 / $539.10	Professional		$238.78	$323.06	$539.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $216.55 / $258.89 / $283.04	Facility		$216.55	$258.89	$283.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $268.83 / $289.83	Professional		$253.00	$268.83	$289.83
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 $230.74 / $321.83 / $499.88	Professional		$230.74	$321.83	$499.88