Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.14 / $489.26 / $6,432.00	Facility		$198.14	$489.26	$6,432.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $132.15 / $149.66 / $422.99	Facility	54	$132.15	$149.66	$422.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $191.80 / $345.69	Professional		$163.06	$191.80	$345.69
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 $196.14 / $203.54 / $203.54	Professional		$196.14	$203.54	$203.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $224.31 / $224.31	Facility		$224.31	$224.31	$224.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.76 / $154.76 / $154.76	Facility	54	$154.76	$154.76	$154.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $221.91 / $379.13	Professional		$161.84	$221.91	$379.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.54 / $317.49 / $406.85	Professional		$235.54	$317.49	$406.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.13 / $558.17 / $1,346.08	Facility		$272.13	$558.17	$1,346.08
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $202.13 / $202.13 / $821.87	Facility	54	$202.13	$202.13	$821.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $206.02 / $245.54	Professional		$176.20	$206.02	$245.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $176.19 / $511.18 / $7,197.00	Facility		$176.19	$511.18	$7,197.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $148.61 / $149.66 / $432.39	Facility	54	$148.61	$149.66	$432.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $228.70 / $391.78	Professional		$165.18	$228.70	$391.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $219.70 / $393.90	Professional		$207.20	$219.70	$393.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $224.31 / $224.31	Facility		$224.31	$224.31	$224.31
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $154.76 / $154.76 / $154.76	Facility	54	$154.76	$154.76	$154.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $224.56 / $379.35	Professional		$171.63	$224.56	$379.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $159.52 / $187.46 / $195.10	Facility		$159.52	$187.46	$195.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $188.26 / $202.91	Professional		$183.29	$188.26	$202.91
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 $162.49 / $221.14 / $363.84	Professional		$162.49	$221.14	$363.84