Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,760.83 / $12,589.25	Facility		$1,659.59	$6,760.83	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $7,585.78 / $17,378.01	Facility	50	$4,677.35	$7,585.78	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,137.96	Professional		$467.74	$794.33	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $831.76	Professional		$257.04	$524.81	$831.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,709.64 / $57,543.99	Facility		$7,585.78	$8,709.64	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $954.99	Professional		$524.81	$549.54	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $4,677.35	Facility		$645.65	$954.99	$4,677.35
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,122.02	Professional		$389.05	$602.56	$1,122.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,023.29	Professional		$549.54	$758.58	$1,023.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $912.01	Professional		$467.74	$562.34	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,511.38 / $15,135.61	Facility		$3,311.31	$8,511.38	$15,135.61
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility	22	$6,760.83	$6,760.83	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $12,022.64 / $25,118.86	Facility	50	$3,311.31	$12,022.64	$25,118.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $758.58	Professional		$512.86	$562.34	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,309.57 / $12,302.69	Facility		$1,148.15	$6,309.57	$12,302.69
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $7,585.78 / $17,378.01	Facility	50	$4,677.35	$7,585.78	$17,378.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,659.59	Professional		$489.78	$794.33	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,623.41 / $6,606.93	Facility		$501.19	$5,623.41	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,122.02	Professional		$501.19	$891.25	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $575.44	Facility		$446.68	$537.03	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $575.44	Professional		$446.68	$537.03	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $10,471.29	Facility		$1,258.93	$3,630.78	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $912.01	Professional		$436.52	$562.34	$912.01