Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $9,549.93	Facility		$1,047.13	$5,370.32	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $15,135.61 / $33,113.11	Facility	50	$1,819.70	$15,135.61	$33,113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,884.03 / $5,370.32	Professional		$245.47	$2,884.03	$5,370.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $8,709.64 / $14,125.38	Professional	50	$5,623.41	$8,709.64	$14,125.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,890.45 / $4,073.80 / $4,265.80	Professional	50	$3,890.45	$4,073.80	$4,265.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $6,760.83	Professional		$2,511.89	$5,011.87	$6,760.83
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $3,715.35 / $7,585.78 / $10,000.00	Professional	50	$3,715.35	$7,585.78	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $2,398.83 / $6,025.60	Professional		$269.15	$2,398.83	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $5,128.61	Professional		$3,630.78	$4,677.35	$5,128.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $3,981.07 / $6,025.60	Professional		$288.40	$3,981.07	$6,025.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $16,595.87	Facility		$4,365.16	$4,365.16	$16,595.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $16,218.10 / $33,884.42	Facility	50	$3,090.30	$16,218.10	$33,884.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $15,135.61 / $33,113.11	Facility	50	$1,819.70	$15,135.61	$33,113.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $2,884.03 / $7,244.36	Professional		$245.47	$2,884.03	$7,244.36
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $5,888.44 / $10,000.00	Professional	50	$5,623.41	$5,888.44	$10,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $7,244.36	Professional		$4,570.88	$5,754.40	$7,244.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $4,073.80	Facility		$251.19	$467.74	$4,073.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $3,311.31	Professional		$239.88	$281.84	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $21,877.62	Facility		$2,137.96	$3,981.07	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,570.40 / $5,623.41	Professional		$239.88	$2,570.40	$5,623.41