Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.90 / $988.00 / $5,750.00	Facility		$332.90	$988.00	$5,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.52 / $228.85 / $594.61	Facility	54	$220.52	$228.85	$594.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $324.00 / $628.57	Professional		$261.57	$324.00	$628.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $553.53 / $553.53 / $553.53	Professional		$553.53	$553.53	$553.53
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 $321.23 / $474.39 / $632.88	Professional		$321.23	$474.39	$632.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.57 / $494.57 / $494.57	Facility		$494.57	$494.57	$494.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $364.75 / $600.52	Professional		$277.02	$364.75	$600.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $385.03 / $517.38 / $665.06	Professional		$385.03	$517.38	$665.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.76 / $603.00 / $1,535.80	Facility		$363.76	$603.00	$1,535.80
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $387.25 / $813.43 / $978.41	Facility	54	$387.25	$813.43	$978.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.52 / $355.81 / $419.68	Professional		$309.52	$355.81	$419.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $354.87 / $1,246.00 / $7,104.00	Facility		$354.87	$1,246.00	$7,104.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $228.85 / $249.68 / $594.61	Facility	54	$228.85	$249.68	$594.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $379.60 / $668.97	Professional		$269.25	$379.60	$668.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.50 / $350.50 / $680.40	Professional		$350.50	$350.50	$680.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $494.57 / $494.57 / $494.57	Facility		$494.57	$494.57	$494.57
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $370.14 / $612.09	Professional		$277.86	$370.14	$612.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $285.54 / $308.25 / $340.77	Facility		$285.54	$308.25	$340.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $284.66 / $308.25 / $333.76	Professional		$284.66	$308.25	$333.76
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 $276.39 / $378.57 / $616.00	Professional		$276.39	$378.57	$616.00