Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,238.72 / $6,606.93	Facility		$245.47	$2,238.72	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $3,235.94 / $7,762.47	Facility	50	$2,290.87	$3,235.94	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $724.44	Professional		$123.03	$251.19	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $389.05 / $1,318.26	Professional	50	$173.78	$389.05	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $263.03	Professional		$114.82	$154.88	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $354.81 / $407.38	Professional	50	$354.81	$354.81	$407.38
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 $257.04 / $302.00 / $446.68	Professional		$257.04	$302.00	$446.68
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $501.19 / $676.08	Professional	50	$389.05	$501.19	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $478.63	Professional		$123.03	$239.88	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $588.84	Professional		$338.84	$467.74	$588.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $549.54	Professional		$177.83	$363.08	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $4,265.80	Facility		$1,348.96	$2,089.30	$4,265.80
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $4,265.80 / $6,165.95	Facility	50	$4,168.69	$4,265.80	$6,165.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $588.84	Professional		$128.82	$134.90	$588.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,737.80 / $5,754.40	Facility		$245.47	$1,737.80	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,398.83 / $7,762.47	Facility	50	$2,187.76	$2,398.83	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $691.83	Professional		$125.89	$269.15	$691.83
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $389.05 / $1,318.26	Professional	50	$251.19	$389.05	$1,318.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $562.34	Facility		$309.03	$309.03	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $562.34	Professional		$288.40	$371.54	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $223.87 / $489.78	Facility		$91.20	$223.87	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $223.87 / $489.78	Professional		$91.20	$223.87	$489.78
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 $125.89 / $229.09 / $436.52	Professional		$125.89	$229.09	$436.52