Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $5,370.32	Facility		$436.52	$1,698.24	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,621.81 / $4,570.88	Facility	50	$741.31	$1,621.81	$4,570.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	52	$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $812.83	Professional		$95.50	$213.80	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $275.42	Professional		$95.50	$112.20	$275.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $691.83	Professional		$263.03	$436.52	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $776.25	Professional		$123.03	$281.84	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $524.81	Professional		$371.54	$478.63	$524.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $446.68 / $812.83	Professional		$123.03	$446.68	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,344.23	Facility		$812.83	$1,412.54	$2,344.23
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $2,187.76 / $2,344.23	Facility	50	$1,548.82	$2,187.76	$2,344.23
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	52	$1,096.48	$1,096.48	$1,096.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,621.81 / $5,370.32	Facility		$446.68	$1,621.81	$5,370.32
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,230.27 / $4,570.88	Facility	50	$741.31	$1,230.27	$4,570.88
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	52	$575.44	$575.44	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $302.00 / $794.33	Professional		$107.15	$302.00	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $691.83	Facility		$199.53	$199.53	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $537.03 / $660.69	Professional		$199.53	$537.03	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $218.78 / $707.95	Facility		$102.33	$218.78	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $707.95	Professional		$102.33	$218.78	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $724.44	Professional		$104.71	$251.19	$724.44