Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.24 / $988.00 / $5,958.00	Facility		$170.24	$988.00	$5,958.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $110.86 / $110.86 / $127.68	Facility	54	$110.86	$110.86	$127.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $152.65 / $293.04	Professional		$131.69	$152.65	$293.04
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 $166.63 / $172.92 / $240.31	Professional		$166.63	$172.92	$240.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $245.60 / $245.60	Facility		$245.60	$245.60	$245.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.92 / $171.92 / $171.92	Facility	54	$171.92	$171.92	$171.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $182.14 / $304.04	Professional		$138.33	$182.14	$304.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $264.83 / $343.88	Professional		$199.09	$264.83	$343.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.63 / $501.16 / $1,075.22	Facility		$340.63	$501.16	$1,075.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $171.46 / $236.50	Professional		$109.34	$171.46	$236.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $1,522.00 / $7,175.00	Facility		$230.40	$1,522.00	$7,175.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $110.86 / $110.86 / $127.68	Facility	54	$110.86	$110.86	$127.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $176.59 / $409.93	Professional		$132.27	$176.59	$409.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $186.80 / $341.80	Professional		$164.38	$186.80	$341.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $245.60 / $245.60	Facility		$245.60	$245.60	$245.60
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $171.92 / $171.92 / $171.92	Facility	54	$171.92	$171.92	$171.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $186.31 / $309.68	Professional		$138.90	$186.31	$309.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $140.59 / $160.51	Facility		$138.41	$140.59	$160.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $156.77 / $172.09	Professional		$138.41	$156.77	$172.09
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 $143.26 / $193.94 / $317.36	Professional		$143.26	$193.94	$317.36