Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $870.96 / $4,570.88	Facility		$186.21	$870.96	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	50	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $354.81	Professional		$52.48	$109.65	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $125.89	Professional		$46.77	$57.54	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $213.80	Professional		$186.21	$190.55	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $190.55 / $218.78	Professional	50	$125.89	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $165.96	Professional		$52.48	$93.33	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $229.09	Professional		$162.18	$204.17	$229.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $218.78	Professional		$69.18	$144.54	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,778.28	Facility		$549.54	$851.14	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	50	$933.25	$933.25	$933.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $48.98 / $117.49	Professional		$47.86	$48.98	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $933.25 / $4,365.16	Facility		$162.18	$933.25	$4,365.16
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	50	$363.08	$363.08	$363.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $316.23	Professional		$52.48	$112.20	$316.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $2,344.23	Facility		$645.65	$660.69	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $85.11 / $416.87	Facility		$15.85	$85.11	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.72 / $416.87	Professional		$42.66	$97.72	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,047.13 / $3,890.45	Facility		$223.87	$1,047.13	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $173.78	Professional		$52.48	$89.13	$173.78