Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $988.00 / $6,012.00	Facility		$248.93	$988.00	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $184.48 / $192.23 / $209.59	Facility	54	$184.48	$192.23	$209.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $256.31 / $463.73	Professional		$218.90	$256.31	$463.73
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 $274.48 / $379.69 / $471.17	Professional		$274.48	$379.69	$471.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.69 / $300.32 / $498.05	Professional		$223.69	$300.32	$498.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.69 / $445.09 / $571.20	Professional		$330.69	$445.09	$571.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.87 / $613.87 / $1,075.22	Facility		$613.87	$613.87	$1,075.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $285.92 / $375.66	Professional		$204.21	$285.92	$375.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $268.98 / $1,544.00 / $7,175.00	Facility		$268.98	$1,544.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $192.23 / $192.23 / $209.59	Facility	54	$192.23	$192.23	$209.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $299.30 / $592.61	Professional		$226.12	$299.30	$592.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.80 / $333.60 / $564.50	Professional		$272.80	$333.60	$564.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.73 / $307.64 / $499.31	Professional		$229.73	$307.64	$499.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $184.27 / $241.50 / $262.69	Facility		$184.27	$241.50	$262.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $257.39 / $282.70	Professional		$230.69	$257.39	$282.70
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 $221.22 / $311.70 / $515.65	Professional		$221.22	$311.70	$515.65