Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.61 / $2,070.00 / $7,197.00	Facility		$511.61	$2,070.00	$7,197.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $340.97 / $375.96 / $383.71	Facility	54	$340.97	$375.96	$383.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.53 / $482.82 / $707.93	Professional		$431.53	$482.82	$707.93
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 $493.77 / $512.40 / $864.04	Professional		$493.77	$512.40	$864.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.60 / $818.60 / $818.60	Facility		$818.60	$818.60	$818.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.33 / $578.04 / $955.88	Professional		$435.33	$578.04	$955.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $587.82 / $794.64 / $1,015.32	Professional		$587.82	$794.64	$1,015.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.29 / $371.29 / $501.48	Professional		$371.29	$371.29	$501.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,266.00 / $8,017.00	Facility		$641.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $375.96 / $375.96 / $383.71	Facility	54	$375.96	$375.96	$383.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $431.53 / $511.61 / $1,541.00	Professional		$431.53	$511.61	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $558.29 / $1,011.90	Professional		$558.29	$558.29	$1,011.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $818.60 / $818.60 / $818.60	Facility		$818.60	$818.60	$818.60
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $439.32 / $584.30 / $974.07	Professional		$439.32	$584.30	$974.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $442.10 / $471.21 / $487.82	Facility		$442.10	$471.21	$487.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $458.24 / $480.38 / $512.07	Professional		$458.24	$480.38	$512.07
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 $435.12 / $591.25 / $906.10	Professional		$435.12	$591.25	$906.10