Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.79 / $764.00 / $5,750.00	Facility		$324.79	$764.00	$5,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.59 / $255.84 / $275.87	Facility	54	$243.59	$255.84	$275.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $341.12 / $688.23	Professional		$291.00	$341.12	$688.23
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 $357.38 / $509.78 / $623.47	Professional		$357.38	$509.78	$623.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.42 / $557.42 / $557.42	Facility		$557.42	$557.42	$557.42
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.20 / $390.20 / $390.20	Facility	54	$390.20	$390.20	$390.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.99 / $404.41 / $662.86	Professional		$307.99	$404.41	$662.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $428.67 / $577.39 / $740.43	Professional		$428.67	$577.39	$740.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $679.51 / $2,495.76	Facility		$286.00	$679.51	$2,495.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $377.64 / $470.22	Professional		$347.20	$377.64	$470.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $361.61 / $1,340.00 / $7,175.00	Facility		$361.61	$1,340.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $255.84 / $255.84 / $275.87	Facility	54	$255.84	$255.84	$275.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $398.98 / $724.23	Professional		$301.87	$398.98	$724.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $388.10 / $388.10 / $740.30	Professional		$388.10	$388.10	$740.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $557.42 / $557.42 / $557.42	Facility		$557.42	$557.42	$557.42
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $390.20 / $390.20 / $390.20	Facility	54	$390.20	$390.20	$390.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $408.83 / $682.25	Professional		$311.52	$408.83	$682.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $315.93 / $320.69 / $345.04	Facility		$315.93	$320.69	$345.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $315.93 / $343.30 / $370.10	Professional		$315.93	$343.30	$370.10
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 $301.14 / $416.56 / $687.11	Professional		$301.14	$416.56	$687.11