Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $1,569.00 / $8,017.00	Facility		$309.33	$1,569.00	$8,017.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.00 / $242.56 / $262.58	Facility	54	$232.00	$242.56	$262.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $323.08 / $570.28	Professional		$277.27	$323.08	$570.28
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 $339.55 / $399.51 / $574.79	Professional		$339.55	$399.51	$574.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $530.78 / $530.78	Facility		$530.78	$530.78	$530.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $377.67 / $628.44	Professional		$283.87	$377.67	$628.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.21 / $548.67 / $703.36	Professional		$407.21	$548.67	$703.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.20 / $536.08 / $770.00	Facility		$514.20	$536.08	$770.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.71 / $345.46 / $579.82	Professional		$254.71	$345.46	$579.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.32 / $1,519.00 / $8,017.00	Facility		$309.32	$1,519.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $242.56 / $242.56 / $262.58	Facility	54	$242.56	$242.56	$262.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $350.11 / $701.25	Professional		$281.45	$350.11	$701.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.10 / $401.50 / $698.20	Professional		$339.10	$401.50	$698.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $530.78 / $530.78	Facility		$530.78	$530.78	$530.78
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $285.04 / $383.20 / $632.94	Professional		$285.04	$383.20	$632.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $235.38 / $305.83 / $329.56	Facility		$235.38	$305.83	$329.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $322.33 / $353.47	Professional		$287.68	$322.33	$353.47
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 $286.00 / $388.82 / $639.73	Professional		$286.00	$388.82	$639.73