Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,248.07 / $8,709.64	Facility		$562.34	$5,248.07	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $8,317.64 / $11,748.98	Facility	50	$3,162.28	$8,317.64	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,698.24	Professional		$467.74	$602.56	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,348.96 / $4,786.30	Professional	50	$691.83	$1,348.96	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $1,258.93	Professional		$263.03	$524.81	$1,258.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $707.95 / $831.76	Professional	50	$602.56	$707.95	$831.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,122.02	Professional		$602.56	$977.24	$1,122.02
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $912.01 / $1,445.44 / $1,698.24	Professional	50	$912.01	$1,445.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,047.13	Professional		$501.19	$630.96	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,071.52	Professional		$758.58	$977.24	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,148.15	Professional		$549.54	$812.83	$1,148.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $8,128.31	Facility		$2,511.89	$3,311.31	$8,128.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $5,888.44 / $10,715.19	Facility	50	$3,715.35	$5,888.44	$10,715.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,365.16 / $8,709.64	Facility		$724.44	$4,365.16	$8,709.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $7,413.10 / $11,748.98	Facility	50	$2,570.40	$7,413.10	$11,748.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,621.81	Professional		$489.78	$691.83	$1,621.81
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,348.96 / $4,786.30	Professional	50	$691.83	$1,348.96	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $933.25	Facility		$537.03	$660.69	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $933.25	Professional		$478.63	$602.56	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $6,606.93	Facility		$912.01	$2,754.23	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,122.02	Professional		$467.74	$630.96	$1,122.02