Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $3,235.94 / $7,413.10	Facility		$95.50	$3,235.94	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	50	$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $309.03	Professional		$51.29	$104.71	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $199.53 / $831.76	Professional	50	$128.82	$199.53	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $104.71	Professional		$57.54	$60.26	$104.71
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 $114.82 / $138.04 / $218.78	Professional		$114.82	$138.04	$218.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $218.78 / $331.13	Professional	50	$169.82	$218.78	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $194.98	Professional		$63.10	$102.33	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $275.42	Professional		$158.49	$218.78	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $218.78	Professional		$79.43	$158.49	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $954.99 / $2,290.87	Facility		$234.42	$954.99	$2,290.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	50	$1,584.89	$1,584.89	$1,584.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,884.03 / $7,413.10	Facility		$93.33	$2,884.03	$7,413.10
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	50	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $269.15	Professional		$58.88	$114.82	$269.15
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $346.74 / $831.76	Professional	50	$134.90	$346.74	$831.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $18,620.87 / $23,442.29	Facility		$181.97	$18,620.87	$23,442.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $257.04	Professional		$87.10	$123.03	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $128.82	Facility		$36.31	$61.66	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $131.83	Professional		$36.31	$61.66	$131.83
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 $53.70 / $89.13 / $154.88	Professional		$53.70	$89.13	$154.88