Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,584.89 / $7,244.36	Facility		$91.20	$1,584.89	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $275.42 / $851.14 / $3,981.07	Facility	50	$275.42	$851.14	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $263.03	Professional		$47.86	$87.10	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $173.78 / $436.52	Professional	50	$74.13	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $91.20 / $134.90	Professional	50	$83.18	$91.20	$134.90
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 $87.10 / $128.82 / $169.82	Professional		$87.10	$128.82	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $194.98 / $257.04	Professional	50	$131.83	$194.98	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $154.88	Professional		$54.95	$91.20	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $204.17	Professional		$117.49	$162.18	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $165.96	Professional		$81.28	$117.49	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $562.34 / $1,995.26	Facility		$138.04	$562.34	$1,995.26
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $3,715.35 / $3,801.89	Facility	50	$467.74	$3,715.35	$3,801.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,348.96 / $7,244.36	Facility		$91.20	$1,348.96	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $275.42 / $851.14 / $3,981.07	Facility	50	$275.42	$851.14	$3,981.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $234.42	Professional		$50.12	$95.50	$234.42
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $199.53 / $489.78	Professional	50	$74.13	$199.53	$489.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $741.31 / $6,606.93	Facility		$95.50	$741.31	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $194.98	Professional		$95.50	$123.03	$194.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $208.93	Facility		$50.12	$91.20	$208.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $218.78	Professional		$50.12	$93.33	$218.78
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 $50.12 / $85.11 / $144.54	Professional		$50.12	$85.11	$144.54