Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,073.80 / $10,000.00	Facility		$645.65	$4,073.80	$10,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	52	$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $1,230.27	Professional		$316.23	$467.74	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $549.54	Professional		$281.84	$371.54	$549.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $562.34	Professional		$288.40	$338.84	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,995.26 / $3,981.07	Facility		$501.19	$1,995.26	$3,981.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	22	$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	52	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	53	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $758.58	Professional		$251.19	$389.05	$758.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $602.56	Professional		$302.00	$407.38	$602.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $512.86	Professional		$295.12	$371.54	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,606.93 / $10,964.78	Facility		$1,819.70	$6,606.93	$10,964.78
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility	22	$9,549.93	$9,549.93	$9,549.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $602.56	Professional		$346.74	$389.05	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,801.89 / $9,549.93	Facility		$588.84	$3,801.89	$9,549.93
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	52	$467.74	$467.74	$467.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,023.29	Professional		$323.59	$478.63	$1,023.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,995.26 / $5,623.41	Facility		$446.68	$1,995.26	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $616.60	Professional		$426.58	$478.63	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $398.11 / $758.58	Facility		$380.19	$398.11	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $758.58	Professional		$380.19	$398.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $8,128.31	Facility		$549.54	$2,398.83	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $602.56	Professional		$275.42	$371.54	$602.56