Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,175.00	Facility		$428.00	$2,070.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.57 / $225.39 / $242.75	Facility	54	$214.57	$225.39	$242.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $301.30 / $543.26	Professional		$257.73	$301.30	$543.26
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 $316.48 / $328.43 / $550.16	Professional		$316.48	$328.43	$550.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $495.31 / $495.31	Facility		$495.31	$495.31	$495.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $355.35 / $583.95	Professional		$268.69	$355.35	$583.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $511.31 / $655.44	Professional		$379.47	$511.31	$655.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.55 / $613.87 / $1,286.68	Facility		$251.55	$613.87	$1,286.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.20 / $320.39 / $352.44	Professional		$220.20	$320.39	$352.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $225.39 / $225.39 / $242.75	Facility	54	$225.39	$225.39	$242.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $348.25 / $812.61	Professional		$257.73	$348.25	$812.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.50 / $378.90 / $649.70	Professional		$322.50	$378.90	$649.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $495.31 / $495.31	Facility		$495.31	$495.31	$495.31
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $274.63 / $360.14 / $594.66	Professional		$274.63	$360.14	$594.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $227.72 / $283.63 / $304.81	Facility		$227.72	$283.63	$304.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $277.12 / $297.89 / $326.79	Professional		$277.12	$297.89	$326.79
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 $269.02 / $368.56 / $617.92	Professional		$269.02	$368.56	$617.92