Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.39 / $1,520.02 / $6,158.58	Facility		$514.39	$1,520.02	$6,158.58
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $359.14 / $403.86 / $1,797.13	Facility	54	$359.14	$403.86	$1,797.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.89 / $569.42 / $1,302.90	Professional		$489.89	$569.42	$1,302.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $552.40 / $845.99 / $1,067.19	Professional		$552.40	$845.99	$1,067.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $879.98 / $879.98	Facility		$879.98	$879.98	$879.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.14 / $649.59 / $1,065.05	Professional		$514.14	$649.59	$1,065.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.69 / $890.27 / $1,137.74	Professional		$658.69	$890.27	$1,137.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,293.59 / $3,770.55 / $7,358.12	Facility		$1,293.59	$3,770.55	$7,358.12
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $800.21 / $4,450.52 / $6,527.60	Facility	54	$800.21	$4,450.52	$6,527.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $588.50 / $722.76	Professional		$528.54	$588.50	$722.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $560.37 / $1,803.83 / $6,703.53	Facility		$560.37	$1,803.83	$6,703.53
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $359.14 / $403.86 / $9,258.77	Facility	54	$359.14	$403.86	$9,258.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.90 / $674.38 / $1,522.52	Professional		$489.90	$674.38	$1,522.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $605.10 / $665.20 / $1,155.20	Professional		$605.10	$665.20	$1,155.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $879.98 / $879.98	Facility		$879.98	$879.98	$879.98
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $516.96 / $659.90 / $1,075.05	Professional		$516.96	$659.90	$1,075.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $507.22 / $536.29 / $607.22	Facility		$507.22	$536.29	$607.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $507.22 / $536.29 / $572.38	Professional		$507.22	$536.29	$572.38
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $677.61 / $1,084.99	Professional		$520.20	$677.61	$1,084.99