Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,388.44 / $7,079.46	Facility		$831.76	$3,388.44	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $4,570.88 / $7,079.46	Facility	50	$3,019.95	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $446.68 / $2,290.87	Professional		$134.90	$446.68	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $446.68	Professional		$128.82	$190.55	$446.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $1,230.27	Professional		$407.38	$812.83	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $446.68 / $1,047.13	Professional		$169.82	$446.68	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $812.83	Professional		$575.44	$741.31	$812.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $660.69 / $977.24	Professional		$190.55	$660.69	$977.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $6,918.31	Facility		$1,230.27	$3,630.78	$6,918.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $5,370.32 / $13,182.57	Facility	50	$1,148.15	$5,370.32	$13,182.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $398.11 / $794.33	Professional		$165.96	$398.11	$794.33
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $6,165.95	Facility		$2,344.23	$3,715.35	$6,165.95
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,235.94 / $6,760.83	Facility		$741.31	$3,235.94	$6,760.83
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $4,570.88 / $7,079.46	Facility	50	$3,019.95	$4,570.88	$7,079.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $467.74 / $1,479.11	Professional		$141.25	$467.74	$1,479.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $4,786.30	Facility		$1,621.81	$2,691.53	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,412.54	Professional		$724.44	$851.14	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $380.19 / $691.83	Facility		$151.36	$380.19	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $380.19 / $691.83	Professional		$83.18	$380.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $5,888.44	Facility		$1,000.00	$2,691.53	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $389.05 / $954.99	Professional		$147.91	$389.05	$954.99