Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.44 / $513.60 / $4,051.00	Facility		$274.44	$513.60	$4,051.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $205.83 / $226.66 / $471.23	Facility	54	$205.83	$226.66	$471.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $271.08 / $506.40	Professional		$222.49	$271.08	$506.40
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 $299.94 / $311.26 / $470.17	Professional		$299.94	$311.26	$470.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $321.54 / $535.98	Professional		$240.52	$321.54	$535.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.58 / $483.99 / $619.36	Professional		$358.58	$483.99	$619.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.70 / $501.16 / $987.11	Facility		$282.70	$501.16	$987.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.95 / $333.70 / $358.00	Professional		$309.95	$333.70	$358.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $282.48 / $543.19 / $5,958.00	Facility		$282.48	$543.19	$5,958.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $205.83 / $357.42 / $471.23	Facility	54	$205.83	$357.42	$471.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $236.31 / $317.72 / $815.08	Professional		$236.31	$317.72	$815.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $329.20 / $585.70	Professional		$305.10	$329.20	$585.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $243.23 / $325.60 / $539.96	Professional		$243.23	$325.60	$539.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $258.55 / $261.75 / $289.99	Facility		$258.55	$261.75	$289.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $280.01 / $306.89	Professional		$258.55	$280.01	$306.89
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 $243.45 / $332.01 / $529.08	Professional		$243.45	$332.01	$529.08