Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $549.54 / $7,762.47	Facility		$72.44	$549.54	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $169.82	Professional		$50.12	$72.44	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $72.44	Professional		$63.10	$64.57	$72.44
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 $66.07 / $75.86 / $154.88	Professional		$66.07	$75.86	$154.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $120.23 / $234.42	Professional	50	$100.00	$120.23	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $120.23	Professional		$47.86	$67.61	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $114.82	Professional		$56.23	$70.79	$114.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $630.96	Facility		$229.09	$389.05	$630.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $87.10	Professional		$77.62	$83.18	$87.10
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $123.03 / $123.03	Professional	50	$123.03	$123.03	$123.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $562.34 / $7,762.47	Facility		$72.44	$562.34	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $162.18	Professional		$48.98	$74.13	$162.18
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $229.09	Professional		$138.04	$229.09	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $79.43	Facility		$47.86	$64.57	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $154.88	Professional		$25.12	$64.57	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $3,890.45	Facility		$162.18	$524.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $107.15	Professional		$46.77	$66.07	$107.15