Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $1,122.02 / $2,187.76	Professional		$52.48	$1,122.02	$2,187.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,288.25	Professional		$1,122.02	$1,230.27	$1,288.25
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 $1,202.26 / $1,230.27 / $2,511.89	Professional		$1,202.26	$1,230.27	$2,511.89
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,778.28 / $1,862.09 / $3,801.89	Professional	50	$1,778.28	$1,862.09	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $1,000.00 / $2,041.74	Professional		$44.67	$1,000.00	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,187.76	Professional		$1,584.89	$1,584.89	$2,187.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $1,288.25 / $2,041.74	Professional		$85.11	$1,288.25	$2,041.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,890.45 / $6,165.95	Facility		$1,412.54	$3,890.45	$6,165.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $1,778.28	Professional		$851.14	$1,548.82	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional	50	$2,041.74	$2,041.74	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $7,762.47	Facility		$616.60	$2,344.23	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $1,122.02 / $2,454.71	Professional		$52.48	$1,122.02	$2,454.71
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional	50	$6,025.60	$6,025.60	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,454.71	Professional		$912.01	$912.01	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $851.14 / $1,318.26	Facility		$51.29	$851.14	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $851.14 / $1,318.26	Professional		$51.29	$851.14	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $4,265.80	Facility		$1,000.00	$2,570.40	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $954.99 / $1,949.84	Professional		$51.29	$954.99	$1,949.84