Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,073.80 / $8,511.38	Facility		$588.84	$4,073.80	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $6,309.57 / $8,317.64	Facility	50	$4,466.84	$6,309.57	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,348.96	Professional		$302.00	$512.86	$1,348.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $1,862.09 / $1,862.09	Professional	50	$575.44	$1,862.09	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $407.38	Professional		$194.98	$251.19	$407.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,174.90	Professional		$398.11	$812.83	$1,174.90
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $1,202.26 / $1,778.28	Professional	50	$602.56	$1,202.26	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $891.25	Professional		$302.00	$537.03	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Professional		$676.08	$676.08	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $977.24	Professional		$446.68	$602.56	$977.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $14,454.40	Facility		$3,019.95	$7,585.78	$14,454.40
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $512.86	Professional		$288.40	$331.13	$512.86
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	50	$416.87	$416.87	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,801.89 / $8,511.38	Facility		$588.84	$3,801.89	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $6,309.57 / $8,317.64	Facility	50	$4,466.84	$6,309.57	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,258.93	Professional		$323.59	$575.44	$1,258.93
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $1,862.09 / $2,137.96	Professional	50	$575.44	$1,862.09	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,348.96	Professional		$562.34	$562.34	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $478.63 / $676.08	Facility		$263.03	$478.63	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $676.08	Professional		$263.03	$416.87	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $9,772.37	Facility		$2,089.30	$3,981.07	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $831.76	Professional		$281.84	$489.78	$831.76