Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,128.61 / $10,964.78	Facility		$1,023.29	$5,128.61	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,801.89 / $5,888.44 / $6,918.31	Facility	50	$3,801.89	$5,888.44	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $1,412.54	Professional		$331.13	$467.74	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $588.84	Professional		$281.84	$331.13	$588.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $831.76	Professional		$371.54	$537.03	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $691.83	Professional		$331.13	$446.68	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $524.81	Professional		$371.54	$478.63	$524.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $691.83	Professional		$338.84	$457.09	$691.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $15,135.61	Facility		$3,388.44	$7,413.10	$15,135.61
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $10,232.93 / $58,884.37	Facility	50	$4,677.35	$10,232.93	$58,884.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,897.79 / $10,000.00	Facility		$758.58	$4,897.79	$10,000.00
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $5,888.44 / $6,918.31	Facility	50	$537.03	$5,888.44	$6,918.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,174.90	Professional		$338.84	$501.19	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Facility		$602.56	$602.56	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $741.31	Professional		$457.09	$537.03	$741.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $467.74	Facility		$245.47	$245.47	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $467.74	Professional		$245.47	$309.03	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,964.78	Facility		$1,348.96	$3,548.13	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $707.95	Professional		$309.03	$416.87	$707.95