Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $1,450.13 / $6,012.00	Facility		$405.72	$1,450.13	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $298.33 / $304.29 / $635.10	Facility	54	$298.33	$304.29	$635.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.23 / $405.93 / $734.49	Professional		$357.23	$405.93	$734.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $605.37 / $605.37 / $605.37	Professional		$605.37	$605.37	$605.37
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 $435.24 / $451.66 / $759.05	Professional		$435.24	$451.66	$759.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.33 / $664.33 / $664.33	Facility		$664.33	$664.33	$664.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $491.30 / $815.08	Professional		$375.47	$491.30	$815.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $519.83 / $700.86 / $897.88	Professional		$519.83	$700.86	$897.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.60 / $534.20 / $1,756.93	Facility		$295.60	$534.20	$1,756.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.85 / $442.01 / $690.34	Professional		$417.85	$442.01	$690.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $1,633.00 / $7,763.00	Facility		$451.65	$1,633.00	$7,763.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $304.29 / $336.60 / $635.10	Facility	54	$304.29	$336.60	$635.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $379.82 / $477.50 / $1,204.98	Professional		$379.82	$477.50	$1,204.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.10 / $478.10 / $895.00	Professional		$478.10	$478.10	$895.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $664.33 / $664.33 / $664.33	Facility		$664.33	$664.33	$664.33
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $379.96 / $499.01 / $829.99	Professional		$379.96	$499.01	$829.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $382.48 / $421.58 / $490.02	Facility		$382.48	$421.58	$490.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $382.48 / $415.80 / $451.50	Professional		$382.48	$415.80	$451.50
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 $374.55 / $509.14 / $848.96	Professional		$374.55	$509.14	$848.96