Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $1,569.00 / $7,197.00	Facility		$511.50	$1,569.00	$7,197.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.66 / $386.77 / $423.09	Facility	54	$375.66	$386.77	$423.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $511.59 / $812.38	Professional		$450.87	$511.59	$812.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $544.82 / $565.38 / $969.41	Professional		$544.82	$565.38	$969.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.02 / $842.02 / $842.02	Facility		$842.02	$842.02	$842.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.50 / $618.71 / $1,015.44	Professional		$470.50	$618.71	$1,015.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $649.20 / $877.54 / $1,121.33	Professional		$649.20	$877.54	$1,121.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $998.78 / $3,047.89 / $9,239.27	Facility		$998.78	$3,047.89	$9,239.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.91 / $554.94 / $572.45	Professional		$476.91	$554.94	$572.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $1,978.00 / $8,017.00	Facility		$641.00	$1,978.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $386.77 / $386.77 / $423.09	Facility	54	$386.77	$386.77	$423.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $450.87 / $565.25 / $1,066.18	Professional		$450.87	$565.25	$1,066.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $622.50 / $622.50 / $1,129.70	Professional		$622.50	$622.50	$1,129.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $842.02 / $842.02 / $842.02	Facility		$842.02	$842.02	$842.02
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $481.10 / $635.16 / $1,026.84	Professional		$481.10	$635.16	$1,026.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $485.75 / $488.39 / $530.33	Facility		$485.75	$488.39	$530.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $485.75 / $516.67 / $565.75	Professional		$485.75	$516.67	$565.75
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.38 / $644.08 / $1,052.44	Professional		$490.38	$644.08	$1,052.44