Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,454.71 / $7,762.47	Facility		$302.00	$2,454.71	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $4,466.84 / $8,709.64	Facility	50	$954.99	$4,466.84	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $794.33	Professional		$173.78	$331.13	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $416.87 / $1,778.28	Professional	50	$66.07	$416.87	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $169.82	Professional		$83.18	$154.88	$169.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $181.97 / $251.19	Professional	50	$87.10	$181.97	$251.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $724.44	Professional		$257.04	$346.74	$724.44
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $512.86 / $1,071.52	Professional	50	$380.19	$512.86	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $630.96	Professional		$199.53	$363.08	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $501.19	Professional		$354.81	$457.09	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $660.69	Professional		$309.03	$416.87	$660.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,606.93 / $11,220.18	Facility		$1,258.93	$6,606.93	$11,220.18
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,174.90 / $5,888.44 / $12,302.69	Facility	50	$1,174.90	$5,888.44	$12,302.69
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	50	$676.08	$676.08	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,819.70 / $7,244.36	Facility		$302.00	$1,819.70	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $870.96 / $4,073.80 / $8,511.38	Facility	50	$870.96	$4,073.80	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $812.83	Professional		$190.55	$363.08	$812.83
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $416.87 / $1,659.59	Professional	50	$77.62	$416.87	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,388.44 / $9,772.37	Facility		$363.08	$3,388.44	$9,772.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $954.99	Professional		$346.74	$562.34	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $416.87 / $416.87	Facility		$173.78	$416.87	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $416.87	Professional		$169.82	$309.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,232.93	Facility		$1,348.96	$3,548.13	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $549.54	Professional		$165.96	$295.12	$549.54