Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,570.40 / $8,317.64	Facility		$346.74	$2,570.40	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	50	$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $302.00	Professional		$89.13	$128.82	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $575.44 / $831.76	Professional	50	$524.81	$575.44	$831.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $218.78	Professional		$144.54	$147.91	$218.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $223.87 / $331.13	Professional	50	$213.80	$223.87	$331.13
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 $93.33 / $134.90 / $239.88	Professional		$93.33	$134.90	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $309.03	Professional		$181.97	$245.47	$309.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $251.19	Professional		$97.72	$169.82	$251.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,000.00 / $1,445.44	Facility		$331.13	$1,000.00	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	50	$1,071.52	$1,071.52	$1,071.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,089.30 / $7,762.47	Facility		$426.58	$2,089.30	$7,762.47
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	50	$2,398.83	$2,398.83	$2,398.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $363.08	Professional		$93.33	$151.36	$363.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $562.34 / $831.76	Professional	50	$436.52	$562.34	$831.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $295.12	Facility		$141.25	$141.25	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $288.40	Professional		$151.36	$162.18	$288.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $549.54	Facility		$74.13	$138.04	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $354.81	Professional		$74.13	$138.04	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $3,890.45	Facility		$223.87	$831.76	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $204.17	Professional		$87.10	$125.89	$204.17