Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $7,244.36	Facility		$389.05	$3,311.31	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $5,623.41 / $16,218.10	Facility	50	$776.25	$5,623.41	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $537.03	Professional		$123.03	$199.53	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $204.17	Professional		$120.23	$169.82	$204.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $288.40	Professional		$138.04	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $302.00	Professional		$131.83	$186.21	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $251.19	Professional		$177.83	$229.09	$251.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $263.03	Professional		$147.91	$194.98	$263.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,454.71 / $5,888.44	Facility		$426.58	$2,454.71	$5,888.44
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	50	$3,981.07	$3,981.07	$3,981.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $218.78	Professional		$144.54	$165.96	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,691.53 / $7,079.46	Facility		$407.38	$2,691.53	$7,079.46
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $5,623.41 / $16,218.10	Facility	50	$776.25	$5,623.41	$16,218.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $489.78	Professional		$125.89	$194.98	$489.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $275.42	Facility		$38.90	$38.90	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $245.47 / $302.00	Professional		$34.67	$245.47	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $147.91 / $524.81	Facility		$134.90	$147.91	$524.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $524.81	Professional		$134.90	$194.98	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Professional		$128.82	$169.82	$281.84