Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.39 / $1,013.00 / $6,012.00	Facility		$473.39	$1,013.00	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $246.19 / $248.93 / $279.64	Facility	54	$246.19	$248.93	$279.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.77 / $331.90 / $600.69	Professional		$283.77	$331.90	$600.69
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 $362.01 / $375.67 / $611.72	Professional		$362.01	$375.67	$611.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.54 / $542.54 / $542.54	Facility		$542.54	$542.54	$542.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $379.78 / $379.78 / $379.78	Facility	54	$379.78	$379.78	$379.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $392.75 / $651.71	Professional		$291.33	$392.75	$651.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $435.79 / $586.90 / $752.72	Professional		$435.79	$586.90	$752.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.87 / $844.80 / $1,346.08	Facility		$441.87	$844.80	$1,346.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $388.84 / $461.41	Professional		$369.51	$388.84	$461.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $525.08 / $1,819.00 / $7,799.00	Facility		$525.08	$1,819.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $248.93 / $248.93 / $279.64	Facility	54	$248.93	$248.93	$279.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $420.25 / $768.07	Professional		$293.12	$420.25	$768.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.50 / $321.50 / $745.50	Professional		$321.50	$321.50	$745.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $542.54 / $542.54 / $542.54	Facility		$542.54	$542.54	$542.54
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $379.78 / $379.78 / $379.78	Facility	54	$379.78	$379.78	$379.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $299.81 / $400.63 / $659.14	Professional		$299.81	$400.63	$659.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $267.22 / $311.51 / $348.82	Facility		$267.22	$311.51	$348.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $297.16 / $334.08 / $375.15	Professional		$297.16	$334.08	$375.15
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 $287.10 / $409.95 / $677.68	Professional		$287.10	$409.95	$677.68