Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,541.00 / $6,012.00	Facility		$480.00	$1,541.00	$6,012.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $331.22 / $336.03 / $717.12	Facility	54	$331.22	$336.03	$717.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.50 / $448.04 / $718.79	Professional		$393.50	$448.04	$718.79
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $485.55 / $503.88 / $841.18	Professional		$485.55	$503.88	$841.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.59 / $738.59 / $738.59	Facility		$738.59	$738.59	$738.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.10 / $540.50 / $881.51	Professional		$413.10	$540.50	$881.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $579.63 / $782.86 / $1,001.19	Professional		$579.63	$782.86	$1,001.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $3,262.11 / $7,673.96	Facility		$562.79	$3,262.11	$7,673.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.35 / $487.69 / $501.18	Professional		$443.35	$487.69	$501.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $1,633.00 / $7,175.00	Facility		$536.00	$1,633.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $336.03 / $373.42 / $717.12	Facility	54	$336.03	$373.42	$717.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $394.93 / $497.89 / $1,065.48	Professional		$394.93	$497.89	$1,065.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $570.79 / $570.79 / $995.10	Professional		$570.79	$570.79	$995.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $738.59 / $738.59 / $738.59	Facility		$738.59	$738.59	$738.59
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $551.62 / $901.00	Professional		$421.60	$551.62	$901.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.44 / $424.34 / $478.80	Facility		$407.44	$424.34	$478.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $412.45 / $458.40 / $502.61	Professional		$412.45	$458.40	$502.61
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.71 / $566.41 / $881.94	Professional		$427.71	$566.41	$881.94