Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,912.51	Facility		$1,047.13	$3,981.07	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $2,290.87	Professional		$501.19	$758.58	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $933.25	Professional		$489.78	$602.56	$933.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,096.48	Professional		$602.56	$870.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	22	$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	AS	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,202.26	Professional		$512.86	$707.95	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,174.90	Professional		$691.83	$933.25	$1,174.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $8,128.31	Facility		$2,398.83	$4,365.16	$8,128.31
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,309.57 / $6,309.57 / $8,709.64	Facility	22	$6,309.57	$6,309.57	$8,709.64
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility	50	$29,512.09	$29,512.09	$29,512.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $933.25	Professional		$575.44	$724.44	$933.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $8,709.64	Facility		$1,000.00	$3,890.45	$8,709.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,778.28	Professional		$549.54	$812.83	$1,778.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,445.44 / $6,606.93	Facility		$630.96	$1,445.44	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,258.93	Professional		$549.54	$794.33	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $588.84	Facility		$416.87	$416.87	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $602.56	Professional		$416.87	$416.87	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $6,309.57	Facility		$1,348.96	$3,311.31	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,122.02	Professional		$489.78	$691.83	$1,122.02