Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $7,629.00	Facility		$641.00	$2,326.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $327.37 / $368.01 / $368.01	Facility	54	$327.37	$368.01	$368.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.56 / $472.59 / $695.31	Professional		$422.56	$472.59	$695.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $475.51 / $493.45 / $836.30	Professional		$475.51	$493.45	$836.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $539.75 / $539.75	Facility		$539.75	$539.75	$539.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.64 / $561.53 / $938.59	Professional		$421.64	$561.53	$938.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $565.47 / $764.73 / $976.71	Professional		$565.47	$764.73	$976.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.85 / $528.85 / $528.85	Professional		$528.85	$528.85	$528.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,326.00 / $8,017.00	Facility		$657.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $368.01 / $368.01 / $368.01	Facility	54	$368.01	$368.01	$368.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $431.41 / $524.54 / $2,347.30	Professional		$431.41	$524.54	$2,347.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $532.90 / $532.90 / $969.30	Professional		$532.90	$532.90	$969.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $539.75 / $539.75	Facility		$539.75	$539.75	$539.75
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $573.48 / $952.19	Professional		$422.30	$573.48	$952.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $445.78 / $460.97 / $460.97	Facility		$445.78	$460.97	$460.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $445.78 / $460.97 / $490.88	Professional		$445.78	$460.97	$490.88
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 $434.59 / $559.76 / $920.98	Professional		$434.59	$559.76	$920.98