Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $2,398.83 / $7,762.47	Facility		$48.98	$2,398.83	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $5,495.41 / $5,495.41	Facility	50	$371.54	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $70.79 / $346.74	Professional		$22.91	$70.79	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $208.93	Professional	50	$125.89	$125.89	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $363.08	Professional		$19.95	$23.44	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$46.77
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 $33.11 / $47.86 / $275.42	Professional		$33.11	$47.86	$275.42
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $72.44 / $407.38	Professional	50	$48.98	$72.44	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $60.26 / $302.00	Professional		$26.30	$60.26	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $72.44	Professional		$41.69	$56.23	$72.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $354.81	Professional		$35.48	$57.54	$354.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,548.82 / $2,511.89	Facility		$812.83	$1,548.82	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	50	$2,137.96	$2,137.96	$2,137.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $1,778.28 / $7,244.36	Facility		$48.98	$1,778.28	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $371.54 / $371.54 / $5,495.41	Facility	50	$371.54	$371.54	$5,495.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $72.44 / $346.74	Professional		$25.70	$72.44	$346.74
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $208.93	Professional	50	$125.89	$125.89	$208.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $177.83	Facility		$67.61	$67.61	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $186.21 / $316.23	Professional		$61.66	$186.21	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $181.97 / $371.54	Facility		$23.99	$181.97	$371.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.92 / $309.03	Professional		$12.59	$26.92	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,778.28 / $3,890.45	Facility		$467.74	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $245.47	Professional		$24.55	$42.66	$245.47