Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,317.64 / $40,738.03	Facility		$1,905.46	$8,317.64	$40,738.03
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $66,069.34 / $66,069.34 / $66,069.34	Facility	22	$66,069.34	$66,069.34	$66,069.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $5,495.41	Professional		$1,288.25	$1,862.09	$5,495.41
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $199.53 / $371.54 / $954.99	Professional	AS	$199.53	$371.54	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $2,238.72	Professional		$1,258.93	$1,412.54	$2,238.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,754.23	Professional		$1,445.44	$2,041.74	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	22	$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	AS	$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,884.03	Professional		$1,258.93	$1,737.80	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,691.53	Professional		$1,548.82	$2,089.30	$2,691.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,754.23	Professional		$1,318.26	$1,778.28	$2,754.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $35,481.34 / $72,443.60	Facility		$8,709.64	$35,481.34	$72,443.60
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,025.60 / $15,488.17 / $81,283.05	Facility	22	$6,025.60	$15,488.17	$81,283.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,290.87	Professional		$1,584.89	$1,819.70	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $218.78 / $234.42 / $263.03	Professional	AS	$218.78	$234.42	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $41,686.94	Facility		$1,621.81	$7,943.28	$41,686.94
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $66,069.34 / $66,069.34 / $66,069.34	Facility	22	$66,069.34	$66,069.34	$66,069.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $4,265.80	Professional		$1,318.26	$1,905.46	$4,265.80
Martin's Point Facility/Professional Professional Modifier AS Low / Median / High Price $186.21 / $380.19 / $1,122.02	Professional	AS	$186.21	$380.19	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,951.21	Facility		$1,778.28	$1,778.28	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,951.21	Professional		$1,548.82	$1,778.28	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,412.54	Facility		$1,258.93	$1,258.93	$1,412.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,445.44	Professional		$1,258.93	$1,380.38	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $53,703.18	Facility		$3,311.31	$8,709.64	$53,703.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,818.38	Professional		$1,258.93	$1,698.24	$2,818.38