Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,288.25 / $4,265.80	Facility		$95.50	$1,288.25	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $302.00 / $2,630.27 / $6,025.60	Facility	50	$302.00	$2,630.27	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $95.50 / $316.23	Professional		$41.69	$95.50	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $234.42 / $575.44	Professional	50	$61.66	$234.42	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $74.13	Professional		$38.02	$46.77	$74.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $38.02 / $51.29	Professional	50	$38.02	$38.02	$51.29
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 $72.44 / $107.15 / $186.21	Professional		$72.44	$107.15	$186.21
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $162.18 / $281.84	Professional	50	$109.65	$162.18	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $147.91	Professional		$45.71	$85.11	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $165.96	Professional		$95.50	$131.83	$165.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $165.96	Professional		$70.79	$100.00	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $2,630.27	Facility		$630.96	$1,380.38	$2,630.27
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $3,548.13 / $4,786.30	Facility	50	$1,348.96	$3,548.13	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $104.71	Professional		$75.86	$83.18	$104.71
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $125.89 / $138.04	Professional	50	$123.03	$125.89	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,288.25 / $4,265.80	Facility		$87.10	$1,288.25	$4,265.80
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $302.00 / $2,630.27 / $6,025.60	Facility	50	$302.00	$2,630.27	$6,025.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $229.09	Professional		$43.65	$91.20	$229.09
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $234.42 / $660.69	Professional	50	$66.07	$234.42	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $158.49	Facility		$120.23	$120.23	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $169.82	Professional		$123.03	$128.82	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $117.49	Facility		$28.84	$52.48	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $70.79 / $117.49	Professional		$15.49	$70.79	$117.49
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 $43.65 / $81.28 / $134.90	Professional		$43.65	$81.28	$134.90