Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,905.46 / $7,244.36	Facility		$141.25	$1,905.46	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $2,137.96 / $4,677.35	Facility	50	$741.31	$2,137.96	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $426.58	Professional		$97.72	$144.54	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $346.74 / $891.25	Professional	50	$165.96	$346.74	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $131.83	Professional		$66.07	$66.07	$131.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $199.53 / $371.54	Professional	50	$177.83	$199.53	$371.54
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 $138.04 / $186.21 / $239.88	Professional		$138.04	$186.21	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $281.84 / $354.81	Professional	50	$204.17	$281.84	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $251.19	Professional		$112.20	$151.36	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $295.12	Professional		$173.78	$234.42	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $239.88	Professional		$91.20	$151.36	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,174.90 / $1,949.84	Facility		$446.68	$1,174.90	$1,949.84
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $1,778.28 / $2,570.40	Facility	50	$954.99	$1,778.28	$2,570.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $316.23	Professional		$173.78	$173.78	$316.23
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $257.04 / $269.15	Professional	50	$234.42	$257.04	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,584.89 / $7,244.36	Facility		$141.25	$1,584.89	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $251.19 / $1,318.26 / $4,677.35	Facility	50	$251.19	$1,318.26	$4,677.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $354.81	Professional		$102.33	$165.96	$354.81
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $363.08 / $912.01	Professional	50	$165.96	$363.08	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $281.84	Facility		$141.25	$141.25	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $275.42	Professional		$134.90	$194.98	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $134.90	Facility		$104.71	$131.83	$134.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $416.87	Professional		$102.33	$131.83	$416.87
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 $102.33 / $147.91 / $229.09	Professional		$102.33	$147.91	$229.09