Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.30 / $538.20 / $7,175.00	Facility		$273.30	$538.20	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $215.62 / $225.66 / $244.62	Facility	54	$215.62	$225.66	$244.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $300.88 / $553.74	Professional		$250.40	$300.88	$553.74
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 $318.12 / $443.27 / $548.29	Professional		$318.12	$443.27	$548.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $492.90 / $492.90	Facility		$492.90	$492.90	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $349.59 / $584.66	Professional		$262.50	$349.59	$584.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $382.38 / $514.53 / $660.48	Professional		$382.38	$514.53	$660.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $583.45 / $1,332.37	Facility		$163.16	$583.45	$1,332.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.22 / $326.63 / $403.84	Professional		$260.22	$326.63	$403.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $287.49 / $841.82 / $8,017.00	Facility		$287.49	$841.82	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $225.66 / $225.66 / $244.62	Facility	54	$225.66	$225.66	$244.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $258.66 / $344.66 / $612.70	Professional		$258.66	$344.66	$612.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.30 / $363.40 / $653.70	Professional		$305.30	$363.40	$653.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $492.90 / $492.90	Facility		$492.90	$492.90	$492.90
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $359.69 / $587.55	Professional		$269.11	$359.69	$587.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $283.13 / $306.20	Facility		$213.15	$283.13	$306.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $299.75 / $329.02	Professional		$260.94	$299.75	$329.02
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 $264.97 / $364.47 / $567.42	Professional		$264.97	$364.47	$567.42