Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $1,569.00 / $7,175.00	Facility		$451.65	$1,569.00	$7,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.16 / $243.54 / $739.24	Facility	54	$233.16	$243.54	$739.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $324.72 / $644.55	Professional		$276.68	$324.72	$644.55
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 $343.64 / $458.46 / $606.77	Professional		$343.64	$458.46	$606.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.14 / $533.14 / $533.14	Facility		$533.14	$533.14	$533.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.07 / $388.15 / $636.37	Professional		$294.07	$388.15	$636.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.07 / $554.08 / $711.76	Professional		$412.07	$554.08	$711.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.24 / $1,042.67 / $2,444.00	Facility		$439.24	$1,042.67	$2,444.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.43 / $356.15 / $399.94	Professional		$328.43	$356.15	$399.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.52 / $1,777.00 / $7,763.00	Facility		$489.52	$1,777.00	$7,763.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $243.54 / $263.83 / $739.24	Facility	54	$243.54	$263.83	$739.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $286.19 / $379.10 / $769.19	Professional		$286.19	$379.10	$769.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $360.40 / $718.40	Professional		$360.40	$360.40	$718.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $533.14 / $533.14 / $533.14	Facility		$533.14	$533.14	$533.14
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $299.60 / $390.33 / $654.63	Professional		$299.60	$390.33	$654.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $284.81 / $304.30 / $329.28	Facility		$284.81	$304.30	$329.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $297.44 / $322.31 / $353.15	Professional		$297.44	$322.31	$353.15
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 $289.04 / $397.25 / $630.84	Professional		$289.04	$397.25	$630.84