Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,412.54 / $4,677.35	Facility		$257.04	$1,412.54	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,041.74 / $3,162.28	Facility	50	$1,288.25	$2,041.74	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $186.21 / $707.95	Professional		$57.54	$186.21	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $213.80 / $977.24	Professional	50	$83.18	$213.80	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $239.88	Professional		$54.95	$91.20	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $104.71 / $323.59	Professional	50	$83.18	$104.71	$323.59
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 $223.87 / $263.03 / $354.81	Professional		$223.87	$263.03	$354.81
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $389.05 / $537.03	Professional	50	$338.84	$389.05	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $363.08	Professional		$63.10	$141.25	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $524.81	Professional		$302.00	$416.87	$524.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $245.47 / $398.11	Professional		$64.57	$245.47	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $2,691.53	Facility		$724.44	$954.99	$2,691.53
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $1,737.80 / $3,388.44	Facility	50	$1,148.15	$1,737.80	$3,388.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $234.42	Professional		$54.95	$58.88	$234.42
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $123.03 / $354.81	Professional	50	$85.11	$123.03	$354.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,348.96 / $4,570.88	Facility		$223.87	$1,348.96	$4,570.88
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $1,949.84 / $3,162.28	Facility	50	$977.24	$1,949.84	$3,162.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $190.55 / $630.96	Professional		$57.54	$190.55	$630.96
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $218.78 / $1,000.00	Professional	50	$83.18	$218.78	$1,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,162.28 / $6,606.93	Facility		$213.80	$3,162.28	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $489.78	Professional		$204.17	$275.42	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $162.18 / $891.25	Facility		$56.23	$162.18	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $229.09 / $891.25	Professional		$56.23	$229.09	$891.25
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 $57.54 / $138.04 / $295.12	Professional		$57.54	$138.04	$295.12