Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,290.87 / $7,762.47	Facility		$457.09	$2,290.87	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $2,290.87 / $4,265.80	Facility	50	$2,137.96	$2,290.87	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $1,230.27	Professional		$234.42	$457.09	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,412.54 / $2,754.23	Professional	50	$645.65	$1,412.54	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $512.86	Professional		$181.97	$223.87	$512.86
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 $234.42 / $316.23 / $954.99	Professional		$234.42	$316.23	$954.99
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $467.74 / $1,412.54	Professional	50	$354.81	$467.74	$1,412.54
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 $199.53 / $446.68 / $691.83	Professional		$199.53	$446.68	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $416.87	Professional		$302.00	$302.00	$416.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $741.31	Professional		$245.47	$416.87	$741.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $2,818.38	Facility		$954.99	$2,238.72	$2,818.38
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,174.90 / $1,412.54 / $3,801.89	Facility	50	$1,174.90	$1,412.54	$3,801.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $338.84	Professional		$263.03	$295.12	$338.84
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $436.52 / $537.03	Professional	50	$389.05	$436.52	$537.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,905.46 / $7,244.36	Facility		$478.63	$1,905.46	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $2,290.87 / $4,265.80	Facility	50	$933.25	$2,290.87	$4,265.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $1,122.02	Professional		$234.42	$436.52	$1,122.02
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,412.54 / $3,630.78	Professional	50	$645.65	$1,412.54	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $741.31	Professional		$501.19	$501.19	$741.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $407.38 / $489.78	Facility		$114.82	$407.38	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $457.09	Professional		$114.82	$234.42	$457.09
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 $281.84 / $512.86 / $912.01	Professional		$281.84	$512.86	$912.01