Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.30 / $1,234.67 / $5,868.00	Facility		$362.30	$1,234.67	$5,868.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $240.31 / $271.73 / $274.56	Facility	54	$240.31	$271.73	$274.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.48 / $332.02 / $675.59	Professional		$276.48	$332.02	$675.59
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 $352.25 / $365.54 / $365.54	Professional		$352.25	$365.54	$365.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $529.57 / $529.57	Facility		$529.57	$529.57	$529.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $392.35 / $650.02	Professional		$296.93	$392.35	$650.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $421.86 / $568.41 / $728.67	Professional		$421.86	$568.41	$728.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.02 / $613.60 / $1,042.67	Facility		$379.02	$613.60	$1,042.67
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $828.29 / $828.29 / $828.29	Facility	54	$828.29	$828.29	$828.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $357.82 / $421.09	Professional		$318.39	$357.82	$421.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,499.00 / $7,175.00	Facility		$379.00	$1,499.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $241.28 / $271.73 / $647.54	Facility	54	$241.28	$271.73	$647.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $400.68 / $775.32	Professional		$288.18	$400.68	$775.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.90 / $383.10 / $715.50	Professional		$345.90	$383.10	$715.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $529.57 / $529.57	Facility		$529.57	$529.57	$529.57
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $300.47 / $395.67 / $658.68	Professional		$300.47	$395.67	$658.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $292.30 / $303.54 / $354.76	Facility		$292.30	$303.54	$354.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $332.60 / $364.81	Professional		$295.77	$332.60	$364.81
United Facility/Professional Facility Modifier Low / Median / High Price $330.90 / $650.00 / $3,742.00	Facility		$330.90	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $409.64 / $667.63	Professional		$298.95	$409.64	$667.63