Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,288.25 / $4,786.30	Facility		$100.00	$1,288.25	$4,786.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $1,380.38 / $3,162.28	Facility	50	$537.03	$1,380.38	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $331.13	Professional		$57.54	$100.00	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $194.98 / $524.81	Professional	50	$89.13	$194.98	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $97.72	Professional		$50.12	$89.13	$97.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $107.15 / $158.49	Professional	50	$83.18	$107.15	$158.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $181.97	Professional		$95.50	$138.04	$181.97
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $208.93 / $275.42	Professional	50	$144.54	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $169.82	Professional		$64.57	$100.00	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $208.93	Professional		$120.23	$165.96	$208.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $186.21	Professional		$89.13	$125.89	$186.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $537.03 / $1,778.28	Facility		$257.04	$537.03	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $199.53 / $602.56 / $3,019.95	Facility	50	$199.53	$602.56	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $97.72	Professional		$54.95	$97.72	$97.72
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	50	$89.13	$89.13	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,230.27 / $4,786.30	Facility		$107.15	$1,230.27	$4,786.30
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $1,380.38 / $3,311.31	Facility	50	$537.03	$1,380.38	$3,311.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $269.15	Professional		$57.54	$107.15	$269.15
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $199.53 / $524.81	Professional	50	$89.13	$199.53	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $758.58 / $6,606.93	Facility		$104.71	$758.58	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $213.80	Professional		$104.71	$131.83	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $93.33 / $245.47	Facility		$33.11	$93.33	$245.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $245.47	Professional		$33.11	$81.28	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $162.18	Professional		$57.54	$95.50	$162.18