Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $707.95	Professional		$141.25	$269.15	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $1,000.00 / $2,137.96	Professional	50	$457.09	$1,000.00	$2,137.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	50	$630.96	$630.96	$630.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $489.78	Professional		$245.47	$398.11	$489.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $602.56 / $741.31	Professional	50	$371.54	$602.56	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $501.19	Professional		$158.49	$288.40	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $489.78	Professional		$346.74	$446.68	$489.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $478.63	Professional		$165.96	$346.74	$478.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $10,000.00	Facility		$7,943.28	$7,943.28	$10,000.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	50	$7,762.47	$7,762.47	$7,762.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $8,317.64	Facility		$912.01	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $758.58	Professional		$147.91	$309.03	$758.58
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $1,000.00 / $2,137.96	Professional	50	$457.09	$1,000.00	$2,137.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $602.56	Facility		$416.87	$416.87	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $602.56	Professional		$371.54	$389.05	$602.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $281.84	Facility		$104.71	$165.96	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $281.84	Professional		$75.86	$165.96	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $6,025.60	Facility		$1,000.00	$2,691.53	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $436.52	Professional		$138.04	$251.19	$436.52