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 $123.03 / $1,479.11 / $3,019.95	Professional		$123.03	$1,479.11	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,691.53 / $3,630.78 / $3,801.89	Professional	50	$2,691.53	$3,630.78	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,230.27	Professional		$954.99	$1,122.02	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,187.76 / $2,754.23	Professional		$1,023.29	$2,187.76	$2,754.23
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,737.80 / $3,311.31 / $4,168.69	Professional	50	$1,737.80	$3,311.31	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $2,398.83	Professional		$134.90	$263.03	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,238.72	Professional		$2,137.96	$2,137.96	$2,238.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,698.24 / $2,630.27	Professional		$147.91	$1,698.24	$2,630.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $3,981.07	Facility		$2,754.23	$3,981.07	$3,981.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,380.38 / $1,380.38	Professional		$138.04	$1,380.38	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,317.64	Facility		$954.99	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,445.44 / $3,090.30	Professional		$123.03	$1,445.44	$3,090.30
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $2,691.53 / $3,630.78 / $3,801.89	Professional	50	$2,691.53	$3,630.78	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $3,801.89	Professional		$1,819.70	$1,905.46	$3,801.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $134.90 / $1,698.24	Facility		$40.74	$134.90	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $134.90 / $1,380.38	Professional		$40.74	$134.90	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $6,606.93	Facility		$1,000.00	$2,754.23	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,071.52 / $2,511.89	Professional		$123.03	$1,071.52	$2,511.89