Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,137.96 / $6,025.60	Facility		$758.58	$2,137.96	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $1,905.46 / $2,041.74	Facility	52	$724.44	$1,905.46	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $218.78 / $758.58	Professional		$66.07	$218.78	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $257.04	Professional		$74.13	$128.82	$257.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $57,543.99	Facility		$1,995.26	$2,344.23	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $562.34	Professional		$194.98	$208.93	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $758.58 / $1,412.54	Facility		$234.42	$758.58	$1,412.54
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $616.60	Professional		$147.91	$316.23	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $870.96	Professional		$288.40	$512.86	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $407.38 / $676.08	Professional		$177.83	$407.38	$676.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,905.46 / $3,311.31	Facility		$870.96	$1,905.46	$3,311.31
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $436.52 / $575.44 / $2,187.76	Facility	52	$436.52	$575.44	$2,187.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $257.04	Professional		$154.88	$173.78	$257.04
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $7,585.78	Facility		$707.95	$3,019.95	$7,585.78
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $223.87	Professional		$169.82	$181.97	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,041.74 / $5,754.40	Facility		$660.69	$2,041.74	$5,754.40
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $1,412.54 / $2,041.74	Facility	52	$724.44	$1,412.54	$2,041.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $302.00 / $870.96	Professional		$89.13	$302.00	$870.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $831.76	Facility		$338.84	$338.84	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $891.25	Professional		$338.84	$724.44	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $371.54 / $416.87	Facility		$134.90	$371.54	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $371.54 / $416.87	Professional		$134.90	$371.54	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $3,890.45	Facility		$549.54	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $524.81	Professional		$128.82	$302.00	$524.81