Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,862.09 / $4,897.79	Facility		$194.98	$1,862.09	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,630.27 / $5,370.32	Facility	50	$891.25	$2,630.27	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $575.44	Professional		$102.33	$194.98	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $380.19 / $1,096.48	Professional	50	$162.18	$380.19	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $199.53	Professional		$100.00	$177.83	$199.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $190.55 / $316.23	Professional	50	$144.54	$190.55	$316.23
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 $186.21 / $275.42 / $380.19	Professional		$186.21	$275.42	$380.19
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $407.38 / $562.34	Professional	50	$281.84	$407.38	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $338.84	Professional		$112.20	$194.98	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $426.58	Professional		$245.47	$338.84	$426.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $338.84	Professional		$173.78	$251.19	$338.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,089.30 / $3,981.07	Facility		$870.96	$2,089.30	$3,981.07
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $3,235.94 / $6,025.60	Facility	50	$1,096.48	$3,235.94	$6,025.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $194.98	Professional		$104.71	$194.98	$194.98
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	50	$158.49	$158.49	$158.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,778.28 / $4,786.30	Facility		$194.98	$1,778.28	$4,786.30
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,570.40 / $5,248.07	Facility	50	$891.25	$2,570.40	$5,248.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $501.19	Professional		$102.33	$208.93	$501.19
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $380.19 / $1,047.13	Professional	50	$162.18	$380.19	$1,047.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $707.95 / $6,606.93	Facility		$208.93	$707.95	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $426.58	Professional		$208.93	$269.15	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $309.03	Facility		$128.82	$199.53	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $309.03	Professional		$72.44	$186.21	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,862.09 / $3,890.45	Facility		$501.19	$1,862.09	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $346.74	Professional		$102.33	$181.97	$346.74