Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,737.80 / $7,244.36	Facility		$346.74	$1,737.80	$7,244.36
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	54	$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $602.56	Professional		$204.17	$295.12	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
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 $234.42 / $331.13 / $398.11	Professional		$234.42	$331.13	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	54	$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $457.09	Professional		$194.98	$263.03	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $537.03	Professional		$309.03	$426.58	$537.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $457.09	Professional		$194.98	$316.23	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,023.29 / $2,511.89	Facility		$257.04	$1,023.29	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $446.68 / $977.24 / $1,023.29	Facility	54	$446.68	$977.24	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $295.12	Professional		$234.42	$245.47	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,513.56 / $7,244.36	Facility		$346.74	$1,513.56	$7,244.36
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	54	$691.83	$691.83	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $602.56	Professional		$208.93	$309.03	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $467.74	Facility		$239.88	$239.88	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $489.78	Professional		$245.47	$302.00	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $309.03	Facility		$194.98	$229.09	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $309.03	Professional		$147.91	$229.09	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $426.58	Professional		$186.21	$251.19	$426.58