Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,978.00 / $7,197.00	Facility		$548.00	$1,978.00	$7,197.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $365.41 / $377.35 / $411.00	Facility	54	$365.41	$377.35	$411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.46 / $503.13 / $777.87	Professional		$438.46	$503.13	$777.87
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 $529.95 / $554.64 / $942.05	Professional		$529.95	$554.64	$942.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.44 / $823.44 / $823.44	Facility		$823.44	$823.44	$823.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.96 / $607.67 / $982.10	Professional		$459.96	$607.67	$982.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.64 / $852.67 / $1,089.29	Professional		$630.64	$852.67	$1,089.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,384.84 / $1,384.84 / $1,384.84	Facility		$1,384.84	$1,384.84	$1,384.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.70 / $733.79 / $856.86	Professional		$450.70	$733.79	$856.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,070.00 / $8,017.00	Facility		$594.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $377.35 / $377.35 / $411.00	Facility	54	$377.35	$377.35	$411.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $443.40 / $540.09 / $1,128.88	Professional		$443.40	$540.09	$1,128.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $666.50 / $666.50 / $1,083.50	Professional		$666.50	$666.50	$1,083.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $823.44 / $823.44 / $823.44	Facility		$823.44	$823.44	$823.44
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $470.06 / $618.78 / $1,004.58	Professional		$470.06	$618.78	$1,004.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $475.39 / $503.60 / $582.23	Facility		$475.39	$503.60	$582.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $475.39 / $505.18 / $550.77	Professional		$475.39	$505.18	$550.77
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 $487.21 / $627.11 / $1,006.33	Professional		$487.21	$627.11	$1,006.33