Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,630.78 / $9,549.93	Facility		$257.04	$3,630.78	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $7,079.46 / $15,135.61	Facility	50	$2,754.23	$7,079.46	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $891.25	Professional		$158.49	$295.12	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $645.65 / $1,380.38	Professional	50	$331.13	$645.65	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $389.05	Professional		$151.36	$239.88	$389.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $457.09 / $588.84	Professional	50	$371.54	$457.09	$588.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $467.74	Professional		$245.47	$363.08	$467.74
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $549.54 / $691.83	Professional	50	$346.74	$549.54	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $489.78	Professional		$173.78	$288.40	$489.78
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 $204.17 / $354.81 / $537.03	Professional		$204.17	$354.81	$537.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,570.88 / $15,135.61	Facility		$1,819.70	$4,570.88	$15,135.61
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $3,630.78 / $9,332.54	Facility	50	$1,348.96	$3,630.78	$9,332.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,630.27 / $8,511.38	Facility		$257.04	$2,630.27	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $5,754.40 / $15,135.61	Facility	50	$2,238.72	$5,754.40	$15,135.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $758.58	Professional		$165.96	$316.23	$758.58
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $602.56 / $1,659.59	Professional	50	$380.19	$602.56	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Facility		$323.59	$323.59	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $676.08	Professional		$281.84	$467.74	$676.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $251.19 / $407.38	Facility		$123.03	$251.19	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $407.38	Professional		$151.36	$257.04	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $6,025.60	Facility		$912.01	$2,691.53	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $446.68	Professional		$151.36	$245.47	$446.68