Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $676.08 / $5,370.32	Facility		$81.28	$676.08	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $83.18 / $83.18 / $2,570.40	Facility	50	$83.18	$83.18	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $537.03	Professional		$67.61	$199.53	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $489.78 / $741.31	Professional	50	$165.96	$489.78	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $181.97	Professional		$53.70	$87.10	$181.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	50	$147.91	$147.91	$147.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $380.19	Professional		$213.80	$223.87	$380.19
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $338.84 / $562.34	Professional	50	$323.59	$338.84	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $371.54	Professional		$70.79	$173.78	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $467.74	Professional		$275.42	$323.59	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $239.88 / $512.86	Professional		$83.18	$239.88	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $457.09 / $1,258.93	Facility		$323.59	$457.09	$1,258.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $275.42	Professional		$74.13	$95.50	$275.42
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	50	$416.87	$416.87	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $776.25 / $5,370.32	Facility		$128.82	$776.25	$5,370.32
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $83.18 / $83.18 / $2,570.40	Facility	50	$83.18	$83.18	$2,570.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $204.17 / $524.81	Professional		$69.18	$204.17	$524.81
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $602.56 / $1,148.15	Professional	50	$169.82	$602.56	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $501.19	Professional		$338.84	$467.74	$501.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $154.88 / $1,148.15	Facility		$67.61	$154.88	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $245.47	Professional		$64.57	$74.13	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $173.78 / $416.87	Professional		$67.61	$173.78	$416.87