Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $758.58 / $6,165.95	Facility		$104.71	$758.58	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $354.81	Professional		$61.66	$128.82	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	50	$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $87.10 / $93.33	Professional	52	$46.77	$87.10	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $154.88	Professional		$87.10	$102.33	$154.88
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 $109.65 / $186.21 / $204.17	Professional		$109.65	$186.21	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $169.82	Professional		$60.26	$104.71	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $70.79 / $190.55	Professional		$9.55	$70.79	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $194.98	Professional		$75.86	$125.89	$194.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $1,096.48	Facility		$281.84	$512.86	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $134.90	Professional		$89.13	$109.65	$134.90
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $104.71 / $120.23	Professional	50	$64.57	$104.71	$120.23
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $125.89	Professional		$89.13	$104.71	$125.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $794.33 / $5,888.44	Facility		$104.71	$794.33	$5,888.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $295.12	Professional		$61.66	$120.23	$295.12
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	50	$239.88	$239.88	$239.88
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $87.10 / $93.33	Professional	52	$46.77	$87.10	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $97.72	Facility		$51.29	$72.44	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $109.65	Professional		$47.86	$72.44	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $616.60 / $3,890.45	Facility		$223.87	$616.60	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $162.18	Professional		$56.23	$95.50	$162.18