Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,398.83 / $8,317.64	Facility		$537.03	$2,398.83	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $4,570.88 / $11,220.18	Facility	50	$2,691.53	$4,570.88	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $524.81 / $1,621.81	Professional		$95.50	$524.81	$1,621.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $630.96 / $3,630.78	Professional	50	$186.21	$630.96	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Professional		$102.33	$102.33	$138.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $128.82 / $131.83	Professional	50	$128.82	$128.82	$131.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $954.99	Professional		$478.63	$707.95	$954.99
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $1,122.02 / $1,445.44	Professional	50	$724.44	$1,122.02	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $371.54 / $933.25	Professional		$107.15	$371.54	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $954.99	Professional		$691.83	$870.96	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $588.84 / $912.01	Professional		$114.82	$588.84	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,570.88 / $8,709.64	Facility		$1,122.02	$4,570.88	$8,709.64
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $4,466.84 / $10,000.00	Facility	50	$1,513.56	$4,466.84	$10,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,089.30 / $7,943.28	Facility		$537.03	$2,089.30	$7,943.28
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $4,168.69 / $11,220.18	Facility	50	$2,691.53	$4,168.69	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $501.19 / $1,445.44	Professional		$102.33	$501.19	$1,445.44
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $446.68 / $3,388.44	Professional	50	$141.25	$446.68	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $1,348.96	Facility		$112.20	$112.20	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $691.83 / $1,202.26	Professional		$117.49	$691.83	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $426.58 / $575.44	Facility		$95.50	$426.58	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $147.91 / $588.84	Professional		$45.71	$147.91	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $6,456.54	Facility		$501.19	$2,238.72	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $380.19 / $851.14	Professional		$102.33	$380.19	$851.14