Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,344.23 / $7,762.47	Facility		$371.54	$2,344.23	$7,762.47
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	54	$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $588.84	Professional		$213.80	$263.03	$588.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $446.68	Professional		$251.19	$309.03	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $467.74	Professional		$208.93	$288.40	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $562.34	Professional		$323.59	$446.68	$562.34
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $467.74	Professional		$173.78	$295.12	$467.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $933.25 / $2,454.71	Facility		$870.96	$933.25	$2,454.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $323.59	Professional		$251.19	$263.03	$323.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,737.80 / $7,244.36	Facility		$338.84	$1,737.80	$7,244.36
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	54	$933.25	$933.25	$933.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $645.65	Professional		$218.78	$323.59	$645.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Facility		$363.08	$363.08	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $562.34	Professional		$331.13	$363.08	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $245.47 / $309.03	Facility		$229.09	$245.47	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $309.03	Professional		$223.87	$263.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $446.68	Professional		$204.17	$275.42	$446.68