Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.10 / $1,499.00 / $5,868.00	Facility		$479.10	$1,499.00	$5,868.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $353.50 / $399.33 / $1,607.63	Facility	54	$353.50	$399.33	$1,607.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $471.33 / $675.88	Professional		$413.35	$471.33	$675.88
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 $515.29 / $621.66 / $895.09	Professional		$515.29	$621.66	$895.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.84 / $778.84 / $778.84	Facility		$778.84	$778.84	$778.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.05 / $576.35 / $932.71	Professional		$436.05	$576.35	$932.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.25 / $832.25 / $1,064.44	Professional		$616.25	$832.25	$1,064.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,146.54 / $3,770.55 / $4,730.85	Facility		$3,146.54	$3,770.55	$4,730.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.74 / $468.74 / $468.74	Professional		$468.74	$468.74	$468.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $524.97 / $1,777.00 / $7,197.00	Facility		$524.97	$1,777.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $357.94 / $1,607.63 / $1,607.63	Facility	54	$357.94	$1,607.63	$1,607.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $532.44 / $1,544.00	Professional		$413.35	$532.44	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $606.29 / $606.29 / $1,058.00	Professional		$606.29	$606.29	$1,058.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $778.84 / $778.84 / $778.84	Facility		$778.84	$778.84	$778.84
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $445.95 / $579.26 / $934.99	Professional		$445.95	$579.26	$934.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $447.31 / $448.53 / $519.01	Facility		$447.31	$448.53	$519.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $447.31 / $486.83 / $533.90	Professional		$447.31	$486.83	$533.90
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 $465.77 / $604.75 / $1,053.33	Professional		$465.77	$604.75	$1,053.33