Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,197.00	Facility		$428.00	$2,070.00	$7,197.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $274.24 / $304.23 / $308.24	Facility	54	$274.24	$304.23	$308.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.54 / $396.14 / $646.60	Professional		$349.54	$396.14	$646.60
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 $397.88 / $413.88 / $700.36	Professional		$397.88	$413.88	$700.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.91 / $665.91 / $665.91	Facility		$665.91	$665.91	$665.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.35 / $472.57 / $794.81	Professional		$360.35	$472.57	$794.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.11 / $640.00 / $817.19	Professional		$473.11	$640.00	$817.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.18 / $402.26 / $510.70	Professional		$379.18	$402.26	$510.70
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 $304.23 / $304.23 / $308.24	Facility	54	$304.23	$304.23	$308.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $353.98 / $433.26 / $1,426.00	Professional		$353.98	$433.26	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $516.60 / $516.60 / $811.80	Professional		$516.60	$516.60	$811.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $665.91 / $665.91 / $665.91	Facility		$665.91	$665.91	$665.91
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $372.36 / $483.15 / $795.15	Professional		$372.36	$483.15	$795.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $382.22 / $386.33 / $445.93	Facility		$382.22	$386.33	$445.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $375.54 / $386.33 / $411.36	Professional		$375.54	$386.33	$411.36
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 $357.01 / $469.88 / $770.30	Professional		$357.01	$469.88	$770.30