Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.53 / $1,583.76 / $5,750.00	Facility		$515.53	$1,583.76	$5,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $343.38 / $344.73 / $386.66	Facility	54	$343.38	$344.73	$386.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.88 / $477.02 / $841.10	Professional		$409.88	$477.02	$841.10
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 $504.91 / $607.08 / $874.65	Professional		$504.91	$607.08	$874.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $761.30 / $761.30	Facility		$761.30	$761.30	$761.30
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.36 / $558.87 / $911.93	Professional		$425.36	$558.87	$911.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.13 / $813.65 / $1,040.04	Professional		$602.13	$813.65	$1,040.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.43 / $4,249.54 / $8,211.90	Facility		$871.43	$4,249.54	$8,211.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.38 / $500.92 / $567.05	Professional		$455.38	$500.92	$567.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $1,819.00 / $7,175.00	Facility		$594.00	$1,819.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $344.73 / $344.73 / $386.66	Facility	54	$344.73	$344.73	$386.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $553.66 / $1,216.25	Professional		$413.75	$553.66	$1,216.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.29 / $607.29 / $1,022.70	Professional		$607.29	$607.29	$1,022.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $761.30 / $761.30	Facility		$761.30	$761.30	$761.30
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $434.34 / $570.79 / $933.69	Professional		$434.34	$570.79	$933.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $436.50 / $463.49 / $520.90	Facility		$436.50	$463.49	$520.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.50 / $475.49 / $521.19	Professional		$436.50	$475.49	$521.19
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 $454.40 / $615.42 / $985.24	Professional		$454.40	$615.42	$985.24