Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.93 / $983.36 / $6,012.00	Facility		$307.93	$983.36	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.45 / $205.58 / $230.95	Facility	54	$203.45	$205.58	$230.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.50 / $282.35 / $589.83	Professional		$234.50	$282.35	$589.83
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 $300.14 / $347.89 / $505.25	Professional		$300.14	$347.89	$505.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $451.20 / $451.20	Facility		$451.20	$451.20	$451.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $322.27 / $539.12	Professional		$237.49	$322.27	$539.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.05 / $486.19 / $623.64	Professional		$361.05	$486.19	$623.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $519.84 / $1,384.84	Facility		$257.00	$519.84	$1,384.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.52 / $320.18 / $381.17	Professional		$208.52	$320.18	$381.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $307.93 / $1,357.00 / $7,197.00	Facility		$307.93	$1,357.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $205.58 / $205.58 / $230.95	Facility	54	$205.58	$205.58	$230.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $242.24 / $333.32 / $612.77	Professional		$242.24	$333.32	$612.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $347.30 / $615.29	Professional		$289.30	$347.30	$615.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $451.20 / $451.20	Facility		$451.20	$451.20	$451.20
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $328.06 / $542.21	Professional		$238.63	$328.06	$542.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $258.04 / $288.70	Facility		$199.25	$258.04	$288.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.02 / $276.58 / $310.33	Professional		$246.02	$276.58	$310.33
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 $247.16 / $338.27 / $527.89	Professional		$247.16	$338.27	$527.89