Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $8,317.64	Facility		$1,412.54	$4,073.80	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $6,165.95 / $9,332.54	Facility	50	$2,187.76	$6,165.95	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,584.89	Professional		$436.52	$630.96	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $794.33	Professional		$295.12	$489.78	$794.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $954.99	Professional		$524.81	$707.95	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,023.29	Professional		$446.68	$602.56	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,000.00	Professional		$575.44	$776.25	$1,000.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,000.00	Professional		$467.74	$616.60	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $7,244.36	Facility		$2,041.74	$3,388.44	$7,244.36
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $4,073.80 / $13,182.57	Facility	50	$2,238.72	$4,073.80	$13,182.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $870.96	Professional		$489.78	$645.65	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $8,317.64	Facility		$1,047.13	$4,073.80	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $6,309.57 / $9,120.11	Facility	50	$2,290.87	$6,309.57	$9,120.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,479.11	Professional		$467.74	$691.83	$1,479.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,318.26 / $6,456.54	Facility		$575.44	$1,318.26	$6,456.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,096.48	Professional		$575.44	$724.44	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $912.01	Facility		$501.19	$512.86	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $912.01	Professional		$501.19	$575.44	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $6,025.60	Facility		$1,949.84	$3,467.37	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $954.99	Professional		$426.58	$575.44	$954.99