Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.14 / $600.90 / $5,627.00	Facility		$311.14	$600.90	$5,627.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $199.58 / $204.20 / $226.37	Facility	54	$199.58	$204.20	$226.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $267.82 / $517.82	Professional		$222.84	$267.82	$517.82
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 $294.75 / $409.12 / $496.09	Professional		$294.75	$409.12	$496.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $449.16 / $449.16	Facility		$449.16	$449.16	$449.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.74 / $319.08 / $529.07	Professional		$234.74	$319.08	$529.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.28 / $476.88 / $611.92	Professional		$354.28	$476.88	$611.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,075.22 / $1,075.22 / $1,384.84	Facility		$1,075.22	$1,075.22	$1,384.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.35 / $329.29 / $386.11	Professional		$299.35	$329.29	$386.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $311.14 / $1,340.00 / $6,522.00	Facility		$311.14	$1,340.00	$6,522.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $204.20 / $204.20 / $226.37	Facility	54	$204.20	$204.20	$226.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $307.60 / $598.91	Professional		$230.41	$307.60	$598.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.60 / $347.80 / $602.90	Professional		$290.60	$347.80	$602.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $449.16 / $449.16	Facility		$449.16	$449.16	$449.16
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $236.36 / $323.68 / $531.16	Professional		$236.36	$323.68	$531.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.26 / $256.49 / $283.05	Facility		$200.26	$256.49	$283.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.32 / $274.83 / $304.07	Professional		$246.32	$274.83	$304.07
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 $238.02 / $317.58 / $544.84	Professional		$238.02	$317.58	$544.84