Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.33 / $1,569.00 / $7,175.00	Facility		$332.33	$1,569.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.40 / $263.66 / $721.57	Facility	54	$232.40	$263.66	$721.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $310.72 / $552.90	Professional		$266.07	$310.72	$552.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $950.40 / $1,359.00 / $8,459.92	Facility		$950.40	$1,359.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $339.05 / $351.85 / $351.85	Professional		$339.05	$351.85	$351.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.65 / $514.65 / $514.65	Facility		$514.65	$514.65	$514.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $375.43 / $620.63	Professional		$285.30	$375.43	$620.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.46 / $548.94 / $703.80	Professional		$407.46	$548.94	$703.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.98 / $696.80 / $2,547.36	Facility		$290.98	$696.80	$2,547.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $349.11 / $406.30	Professional		$326.58	$349.11	$406.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $332.33 / $1,825.00 / $7,197.00	Facility		$332.33	$1,825.00	$7,197.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $236.96 / $263.66 / $2,312.64	Facility	54	$236.96	$263.66	$2,312.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $359.20 / $676.11	Professional		$270.39	$359.20	$676.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $367.00 / $417.41 / $687.60	Professional		$367.00	$417.41	$687.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $514.65 / $514.65 / $514.65	Facility		$514.65	$514.65	$514.65
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $289.27 / $383.83 / $630.46	Professional		$289.27	$383.83	$630.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $303.39 / $358.04	Facility		$296.27	$303.39	$358.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $321.18 / $352.54	Professional		$295.39	$321.18	$352.54
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 $277.77 / $387.43 / $637.44	Professional		$277.77	$387.43	$637.44