Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,073.80 / $12,302.69	Facility		$630.96	$4,073.80	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $4,466.84 / $31,622.78	Facility	50	$4,073.80	$4,466.84	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,479.11	Professional		$389.05	$537.03	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Professional		$407.38	$407.38	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $933.25	Professional		$457.09	$660.69	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $977.24	Professional		$407.38	$575.44	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $954.99	Professional		$676.08	$851.14	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $977.24	Professional		$426.58	$676.08	$977.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,471.29 / $22,908.68	Facility		$4,677.35	$10,471.29	$22,908.68
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility	50	$21,877.62	$21,877.62	$21,877.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $575.44	Professional		$446.68	$467.74	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,801.89 / $11,481.54	Facility		$707.95	$3,801.89	$11,481.54
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $4,466.84 / $31,622.78	Facility	50	$1,778.28	$4,466.84	$31,622.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,348.96	Professional		$407.38	$630.96	$1,348.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,096.48	Facility		$398.11	$398.11	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $933.25 / $1,148.15	Professional		$380.19	$933.25	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $446.68 / $676.08	Facility		$407.38	$446.68	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $575.44	Professional		$398.11	$416.87	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $12,022.64	Facility		$1,348.96	$3,548.13	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $912.01	Professional		$407.38	$537.03	$912.01