Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $517.41 / $5,342.00	Facility		$319.27	$517.41	$5,342.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $227.70 / $239.45 / $750.20	Facility	54	$227.70	$239.45	$750.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $307.74 / $621.29	Professional		$245.16	$307.74	$621.29
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $194.32 / $227.70 / $395.48	Professional	54	$194.32	$227.70	$395.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.01 / $478.01 / $587.34	Professional		$478.01	$478.01	$587.34
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 $311.29 / $323.04 / $446.11	Professional		$311.29	$323.04	$446.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $497.70 / $497.70	Facility		$497.70	$497.70	$497.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.48 / $337.71 / $562.20	Professional		$242.48	$337.71	$562.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.74 / $504.22 / $647.27	Professional		$374.74	$504.22	$647.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.78 / $989.75 / $1,152.75	Facility		$366.78	$989.75	$1,152.75
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $821.87 / $821.87 / $941.36	Facility	54	$821.87	$821.87	$941.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $329.01 / $424.82	Professional		$244.20	$329.01	$424.82
Highmark BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $210.96 / $369.83 / $369.83	Professional	54	$210.96	$369.83	$369.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $286.43 / $832.00 / $7,799.00	Facility		$286.43	$832.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $227.70 / $239.45 / $750.20	Facility	54	$227.70	$239.45	$750.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $370.53 / $628.89	Professional		$259.08	$370.53	$628.89
Martin's Point Facility/Professional Professional Modifier 54 Low / Median / High Price $200.25 / $269.95 / $469.06	Professional	54	$200.25	$269.95	$469.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.50 / $349.70 / $632.70	Professional		$253.50	$349.70	$632.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $497.70 / $497.70	Facility		$497.70	$497.70	$497.70
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $244.37 / $345.57 / $562.61	Professional		$244.37	$345.57	$562.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $284.95 / $299.17	Facility		$221.10	$284.95	$299.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $293.12 / $321.82	Professional		$238.26	$293.12	$321.82
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 $249.69 / $337.72 / $550.10	Professional		$249.69	$337.72	$550.10