Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $601.46 / $4,761.00	Facility		$466.80	$601.46	$4,761.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $268.04 / $278.52 / $303.63	Facility	54	$268.04	$278.52	$303.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.18 / $371.37 / $727.16	Professional		$318.18	$371.37	$727.16
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 $394.10 / $562.62 / $684.34	Professional		$394.10	$562.62	$684.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.91 / $606.91 / $606.91	Facility		$606.91	$606.91	$606.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.13 / $442.91 / $725.79	Professional		$333.13	$442.91	$725.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $472.86 / $637.05 / $816.75	Professional		$472.86	$637.05	$816.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $1,000.03 / $2,294.82	Facility		$265.63	$1,000.03	$2,294.82
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $978.41 / $978.41 / $978.41	Facility	54	$978.41	$978.41	$978.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $408.43 / $502.04	Professional		$354.37	$408.43	$502.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $1,544.00 / $7,197.00	Facility		$504.83	$1,544.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $278.52 / $278.52 / $303.63	Facility	54	$278.52	$278.52	$303.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $328.67 / $462.50 / $765.02	Professional		$328.67	$462.50	$765.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $411.70 / $411.70 / $809.70	Professional		$411.70	$411.70	$809.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $606.91 / $606.91 / $606.91	Facility		$606.91	$606.91	$606.91
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $339.98 / $446.14 / $742.33	Professional		$339.98	$446.14	$742.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $349.50 / $380.80	Facility		$310.97	$349.50	$380.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.09 / $372.25 / $408.54	Professional		$341.09	$372.25	$408.54
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 $344.02 / $462.07 / $745.44	Professional		$344.02	$462.07	$745.44