Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,454.71 / $8,317.64	Facility		$263.03	$2,454.71	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $181.97 / $562.34 / $562.34	Facility	50	$181.97	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $851.14	Professional		$199.53	$316.23	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $630.96 / $1,862.09	Professional	50	$346.74	$630.96	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $323.59	Professional		$165.96	$234.42	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $57,543.99	Facility		$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $436.52	Professional		$239.88	$309.03	$436.52
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $467.74 / $660.69	Professional	50	$354.81	$467.74	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $467.74	Professional		$190.55	$288.40	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $537.03	Professional		$245.47	$316.23	$537.03
Geisinger Facility/Professional Professional Modifier 55 Low / Median / High Price $208.93 / $263.03 / $338.84	Professional	55	$208.93	$263.03	$338.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,584.89 / $3,162.28	Facility		$549.54	$1,584.89	$3,162.28
Highmark BCBS 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
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $331.13	Professional		$245.47	$295.12	$331.13
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $446.68 / $645.65	Professional	50	$371.54	$446.68	$645.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $7,762.47	Facility		$549.54	$2,398.83	$7,762.47
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $181.97 / $181.97 / $562.34	Facility	50	$181.97	$181.97	$562.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $676.08	Professional		$204.17	$302.00	$676.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $588.84 / $1,479.11	Professional	50	$346.74	$588.84	$1,479.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $5,754.40	Facility		$213.80	$269.15	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $537.03	Professional		$446.68	$446.68	$537.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $199.53 / $446.68	Facility		$89.13	$199.53	$446.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $416.87	Professional		$186.21	$199.53	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,445.44 / $3,890.45	Facility		$467.74	$1,445.44	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $426.58	Professional		$194.98	$269.15	$426.58