Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,344.23 / $7,244.36	Facility		$100.00	$2,344.23	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $870.96 / $1,995.26 / $3,235.94	Facility	50	$870.96	$1,995.26	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $269.15	Professional		$56.23	$100.00	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $389.05 / $524.81	Professional	50	$91.20	$389.05	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $467.74	Professional		$56.23	$102.33	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
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 $95.50 / $100.00 / $169.82	Professional		$95.50	$100.00	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $169.82 / $245.47	Professional	50	$141.25	$169.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $213.80	Professional		$61.66	$109.65	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $218.78	Professional		$125.89	$173.78	$218.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $257.04	Professional		$83.18	$144.54	$257.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $2,137.96	Facility		$645.65	$1,000.00	$2,137.96
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility	50	$1,659.59	$1,659.59	$5,011.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,737.80 / $6,606.93	Facility		$109.65	$1,737.80	$6,606.93
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $870.96 / $1,995.26 / $3,235.94	Facility	50	$870.96	$1,995.26	$3,235.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $281.84	Professional		$58.88	$120.23	$281.84
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $371.54 / $977.24	Professional	50	$75.86	$371.54	$977.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $204.17	Facility		$134.90	$134.90	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $245.47	Professional		$147.91	$154.88	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $269.15 / $309.03	Facility		$117.49	$269.15	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $269.15 / $309.03	Professional		$93.33	$269.15	$309.03
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 $57.54 / $100.00 / $199.53	Professional		$57.54	$100.00	$199.53