Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.11 / $1,569.00 / $7,175.00	Facility		$553.11	$1,569.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $368.49 / $392.93 / $414.83	Facility	54	$368.49	$392.93	$414.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.39 / $513.85 / $1,001.12	Professional		$451.39	$513.85	$1,001.12
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 $535.11 / $655.81 / $951.12	Professional		$535.11	$655.81	$951.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.54 / $855.54 / $855.54	Facility		$855.54	$855.54	$855.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.43 / $621.96 / $1,018.04	Professional		$478.43	$621.96	$1,018.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $861.56 / $1,101.01	Professional		$637.42	$861.56	$1,101.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.24 / $581.16 / $686.88	Professional		$541.24	$581.16	$686.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,978.00 / $8,017.00	Facility		$617.00	$1,978.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $392.93 / $392.93 / $414.83	Facility	54	$392.93	$392.93	$414.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $451.39 / $553.76 / $1,541.00	Professional		$451.39	$553.76	$1,541.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $576.90 / $576.90 / $1,103.70	Professional		$576.90	$576.90	$1,103.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $855.54 / $855.54 / $855.54	Facility		$855.54	$855.54	$855.54
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $483.40 / $627.41 / $1,067.56	Professional		$483.40	$627.41	$1,067.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.15 / $491.96 / $518.52	Facility		$426.15	$491.96	$518.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.27 / $504.70 / $552.91	Professional		$478.27	$504.70	$552.91
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 $477.33 / $633.82 / $1,037.27	Professional		$477.33	$633.82	$1,037.27