Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,737.80 / $4,786.30	Facility		$177.83	$1,737.80	$4,786.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,454.71 / $6,606.93	Facility	50	$891.25	$2,454.71	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $524.81	Professional		$85.11	$177.83	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $295.12 / $977.24	Professional	50	$125.89	$295.12	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $218.78	Professional		$79.43	$138.04	$218.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $173.78 / $269.15	Professional	50	$125.89	$173.78	$269.15
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 $173.78 / $251.19 / $338.84	Professional		$173.78	$251.19	$338.84
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $380.19 / $501.19	Professional	50	$257.04	$380.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $302.00	Professional		$95.50	$173.78	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $389.05	Professional		$229.09	$316.23	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $316.23	Professional		$154.88	$223.87	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,949.84 / $3,981.07	Facility		$870.96	$1,949.84	$3,981.07
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $3,162.28 / $5,495.41	Facility	50	$954.99	$3,162.28	$5,495.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $194.98	Professional		$85.11	$173.78	$194.98
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $251.19 / $288.40	Professional	50	$128.82	$251.19	$288.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,548.82 / $4,265.80	Facility		$162.18	$1,548.82	$4,265.80
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,454.71 / $5,623.41	Facility	50	$891.25	$2,454.71	$5,623.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $478.63	Professional		$87.10	$186.21	$478.63
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional	50	$125.89	$302.00	$1,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $741.31 / $6,606.93	Facility		$186.21	$741.31	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $380.19	Professional		$186.21	$199.53	$380.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $181.97 / $478.63	Facility		$87.10	$181.97	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $165.96 / $263.03	Professional		$56.23	$165.96	$263.03
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 $87.10 / $158.49 / $316.23	Professional		$87.10	$158.49	$316.23