Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.41 / $4,534.00 / $8,247.00	Facility		$911.41	$4,534.00	$8,247.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $610.67 / $683.56 / $683.56	Facility	54	$610.67	$683.56	$683.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $814.24 / $1,337.84	Professional		$616.03	$814.24	$1,337.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $802.49 / $832.78 / $1,360.52	Professional		$802.49	$832.78	$1,360.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.20 / $806.31 / $1,357.57	Professional		$636.20	$806.31	$1,357.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $976.00 / $1,258.57	Professional		$976.00	$976.00	$1,258.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,864.63 / $2,864.63 / $4,817.49	Facility		$2,864.63	$2,864.63	$4,817.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.57 / $779.57 / $1,004.47	Professional		$779.57	$779.57	$1,004.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,831.00 / $8,404.00	Facility		$1,013.00	$4,831.00	$8,404.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $683.56 / $683.56 / $683.56	Facility	54	$683.56	$683.56	$683.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $902.85 / $2,706.88	Professional		$656.25	$902.85	$2,706.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $773.90 / $773.90 / $773.90	Professional		$773.90	$773.90	$773.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $642.36 / $832.77 / $1,357.57	Professional		$642.36	$832.77	$1,357.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $721.75 / $801.08 / $801.08	Facility		$721.75	$801.08	$801.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $721.75 / $801.08 / $854.96	Professional		$721.75	$801.08	$854.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.10 / $859.69 / $1,463.58	Professional		$662.10	$859.69	$1,463.58