Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,746.00 / $7,629.00	Facility		$480.00	$1,746.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.73 / $265.16 / $287.58	Facility	54	$253.73	$265.16	$287.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $342.52 / $587.88	Professional		$291.83	$342.52	$587.88
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 $373.37 / $387.46 / $644.36	Professional		$373.37	$387.46	$644.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.13 / $578.13 / $578.13	Facility		$578.13	$578.13	$578.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $414.17 / $687.18	Professional		$311.04	$414.17	$687.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $448.37 / $604.04 / $774.46	Professional		$448.37	$604.04	$774.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.57 / $620.89 / $1,384.84	Facility		$445.57	$620.89	$1,384.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.14 / $387.18 / $587.67	Professional		$330.14	$387.18	$587.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $531.88 / $1,901.00 / $8,017.00	Facility		$531.88	$1,901.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $265.16 / $265.16 / $287.58	Facility	54	$265.16	$265.16	$287.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.66 / $373.34 / $828.21	Professional		$302.66	$373.34	$828.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $358.60 / $765.00	Professional		$358.60	$358.60	$765.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $578.13 / $578.13 / $578.13	Facility		$578.13	$578.13	$578.13
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $422.44 / $691.04	Professional		$315.64	$422.44	$691.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $283.24 / $332.16 / $359.67	Facility		$283.24	$332.16	$359.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $351.76 / $386.08	Professional		$310.31	$351.76	$386.08
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 $313.02 / $427.09 / $702.69	Professional		$313.02	$427.09	$702.69