Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,709.64 / $16,595.87	Facility		$3,467.37	$8,709.64	$16,595.87
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,120.11 / $18,620.87 / $23,988.33	Facility	22	$9,120.11	$18,620.87	$23,988.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $8,912.51 / $26,915.35	Facility	50	$5,011.87	$8,912.51	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,737.80	Professional		$398.11	$575.44	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $602.56	Professional		$354.81	$446.68	$602.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $794.33	Professional		$407.38	$630.96	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $812.83	Professional		$380.19	$537.03	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $616.60	Professional		$436.52	$562.34	$616.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $758.58	Professional		$398.11	$512.86	$758.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,715.19 / $19,498.45	Facility		$3,467.37	$10,715.19	$19,498.45
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	22	$13,182.57	$13,182.57	$13,182.57
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $11,481.54 / $30,902.95	Facility	50	$3,388.44	$11,481.54	$30,902.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,511.38 / $16,218.10	Facility		$2,511.89	$8,511.38	$16,218.10
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $9,120.11 / $9,120.11 / $23,988.33	Facility	22	$9,120.11	$9,120.11	$23,988.33
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $8,912.51 / $25,118.86	Facility	50	$5,011.87	$8,912.51	$25,118.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,659.59	Professional		$398.11	$602.56	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,511.38 / $12,882.50	Facility		$5,754.40	$8,511.38	$12,882.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $870.96	Professional		$446.68	$630.96	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $1,318.26	Facility		$309.03	$457.09	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,318.26	Professional		$389.05	$588.84	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $16,595.87	Facility		$2,344.23	$4,466.84	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $831.76	Professional		$363.08	$489.78	$831.76