Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,570.40 / $8,317.64	Facility		$354.81	$2,570.40	$8,317.64
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $724.44 / $724.44 / $2,290.87	Facility	54	$724.44	$724.44	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $870.96	Professional		$275.42	$338.84	$870.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $467.74	Professional		$426.58	$426.58	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $616.60	Professional		$269.15	$371.54	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $776.25	Professional		$446.68	$616.60	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $645.65	Professional		$288.40	$446.68	$645.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $812.83 / $2,630.27	Facility		$323.59	$812.83	$2,630.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $407.38	Professional		$323.59	$354.81	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,290.87 / $8,317.64	Facility		$512.86	$2,290.87	$8,317.64
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $724.44 / $724.44 / $2,290.87	Facility	54	$724.44	$724.44	$2,290.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $912.01	Professional		$288.40	$436.52	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $707.95	Facility		$407.38	$407.38	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $724.44	Professional		$363.08	$489.78	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $331.13 / $416.87	Facility		$72.44	$331.13	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $416.87	Professional		$288.40	$331.13	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $588.84	Professional		$263.03	$354.81	$588.84