Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.46 / $2,070.00 / $7,629.00	Facility		$404.46	$2,070.00	$7,629.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.26 / $226.73 / $246.49	Facility	54	$217.26	$226.73	$246.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $302.30 / $534.00	Professional		$258.55	$302.30	$534.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $286.14 / $286.14	Professional		$286.14	$286.14	$286.14
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 $318.85 / $377.52 / $550.41	Professional		$318.85	$377.52	$550.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.23 / $493.23 / $493.23	Facility		$493.23	$493.23	$493.23
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.94 / $351.27 / $585.25	Professional		$264.94	$351.27	$585.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $383.20 / $515.97 / $661.88	Professional		$383.20	$515.97	$661.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.52 / $604.00 / $2,444.00	Facility		$266.52	$604.00	$2,444.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $330.86 / $406.89	Professional		$296.33	$330.86	$406.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $8,017.00	Facility		$617.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $226.73 / $226.73 / $246.49	Facility	54	$226.73	$226.73	$246.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $344.30 / $677.02	Professional		$267.06	$344.30	$677.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $333.00 / $659.90	Professional		$333.00	$333.00	$659.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $493.23 / $493.23 / $493.23	Facility		$493.23	$493.23	$493.23
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $360.64 / $587.41	Professional		$267.80	$360.64	$587.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.01 / $283.20 / $307.24	Facility		$257.01	$283.20	$307.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $300.69 / $330.04	Professional		$276.77	$300.69	$330.04
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 $270.42 / $362.70 / $601.09	Professional		$270.42	$362.70	$601.09