Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,230.27 / $6,606.93	Facility		$251.19	$1,230.27	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $2,344.23 / $2,570.40	Facility	50	$575.44	$2,344.23	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $524.81	Professional		$75.86	$218.78	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $398.11 / $562.34	Professional	50	$112.20	$398.11	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $354.81 / $436.52	Professional		$74.13	$354.81	$436.52
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 $204.17 / $263.03 / $416.87	Professional		$204.17	$263.03	$416.87
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $398.11 / $630.96	Professional	50	$309.03	$398.11	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $389.05	Professional		$83.18	$199.53	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $457.09	Professional		$323.59	$416.87	$457.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $275.42 / $426.58	Professional		$87.10	$275.42	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $1,122.02	Facility		$234.42	$346.74	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $407.38 / $691.83 / $5,011.87	Facility	50	$407.38	$691.83	$5,011.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,071.52 / $5,754.40	Facility		$257.04	$1,071.52	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $575.44 / $2,344.23 / $2,570.40	Facility	50	$575.44	$2,344.23	$2,570.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $223.87 / $562.34	Professional		$77.62	$223.87	$562.34
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $398.11 / $562.34	Professional	50	$112.20	$398.11	$562.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $537.03	Facility		$162.18	$162.18	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $407.38 / $512.86	Professional		$165.96	$407.38	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $251.19 / $416.87	Facility		$75.86	$251.19	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $234.42 / $416.87	Professional		$74.13	$234.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $3,890.45	Facility		$162.18	$524.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $331.13	Professional		$72.44	$162.18	$331.13