Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,691.53 / $7,762.47	Facility		$407.38	$2,691.53	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $6,918.31 / $22,908.68	Facility	50	$323.59	$6,918.31	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $812.83	Professional		$112.20	$229.09	$812.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $588.84 / $1,258.93	Professional	50	$173.78	$588.84	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $229.09 / $257.04	Professional		$57.54	$229.09	$257.04
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 $204.17 / $251.19 / $398.11	Professional		$204.17	$251.19	$398.11
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $380.19 / $602.56	Professional	50	$316.23	$380.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $229.09 / $426.58	Professional		$117.49	$229.09	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $549.54	Professional		$316.23	$436.52	$549.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $446.68	Professional		$177.83	$302.00	$446.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,584.89 / $3,981.07	Facility		$537.03	$1,584.89	$3,981.07
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,801.89 / $6,025.60	Facility	50	$3,090.30	$3,801.89	$6,025.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $309.03	Professional		$134.90	$151.36	$309.03
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $416.87 / $416.87	Professional	50	$234.42	$416.87	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $7,244.36	Facility		$436.52	$2,454.71	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $4,073.80 / $14,125.38	Facility	50	$323.59	$4,073.80	$14,125.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $676.08	Professional		$114.82	$234.42	$676.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $588.84 / $1,258.93	Professional	50	$173.78	$588.84	$1,258.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $524.81	Facility		$281.84	$281.84	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $512.86	Professional		$245.47	$331.13	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $331.13	Facility		$112.20	$251.19	$331.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $234.42 / $407.38	Professional		$74.13	$234.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,778.28 / $3,890.45	Facility		$467.74	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $407.38	Professional		$117.49	$223.87	$407.38