Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $5,370.32 / $8,511.38	Facility		$537.03	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $371.54	Professional		$81.28	$125.89	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $218.78 / $630.96	Professional	50	$125.89	$218.78	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $125.89	Professional		$112.20	$114.82	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $218.78 / $323.59	Professional	50	$154.88	$218.78	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $223.87	Professional		$87.10	$134.90	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $213.80	Professional		$151.36	$194.98	$213.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $229.09	Professional		$89.13	$158.49	$229.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $3,311.31	Facility		$1,348.96	$1,380.38	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,801.89 / $8,317.64	Facility		$537.03	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $302.00	Professional		$85.11	$141.25	$302.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $630.96	Professional	50	$218.78	$218.78	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $251.19	Facility		$131.83	$131.83	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $263.03	Professional		$141.25	$208.93	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $81.28 / $162.18	Facility		$28.84	$81.28	$162.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $81.28 / $234.42	Professional		$28.84	$81.28	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $204.17	Professional		$79.43	$120.23	$204.17