Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,630.27 / $5,623.41	Facility		$478.63	$2,630.27	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $4,786.30 / $9,332.54	Facility	50	$2,089.30	$4,786.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $1,202.26	Professional		$190.55	$416.87	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $645.65 / $2,754.23	Professional	50	$269.15	$645.65	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $446.68	Professional		$177.83	$389.05	$446.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $363.08 / $630.96	Professional	50	$275.42	$363.08	$630.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $812.83	Professional		$416.87	$616.60	$812.83
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $933.25 / $1,230.27	Professional	50	$630.96	$933.25	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $776.25	Professional		$208.93	$398.11	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $954.99	Professional		$549.54	$758.58	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $776.25	Professional		$239.88	$489.78	$776.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,981.07 / $6,760.83	Facility		$1,737.80	$3,981.07	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $4,897.79 / $8,709.64	Facility	50	$2,691.53	$4,897.79	$8,709.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $436.52	Professional		$181.97	$331.13	$436.52
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $295.12 / $660.69	Professional	50	$269.15	$295.12	$660.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,454.71 / $5,623.41	Facility		$457.09	$2,454.71	$5,623.41
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $3,801.89 / $7,762.47	Facility	50	$1,737.80	$3,801.89	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $1,096.48	Professional		$199.53	$436.52	$1,096.48
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $660.69 / $2,691.53	Professional	50	$275.42	$660.69	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,412.54 / $6,606.93	Facility		$512.86	$1,412.54	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $977.24	Professional		$512.86	$776.25	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $389.05 / $812.83	Facility		$186.21	$389.05	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $407.38 / $812.83	Professional		$117.49	$407.38	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $6,309.57	Facility		$1,659.59	$3,311.31	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $691.83	Professional		$213.80	$398.11	$691.83