Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,370.32 / $9,120.11	Facility		$776.25	$5,370.32	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $4,168.69 / $7,079.46	Facility	50	$794.33	$4,168.69	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,318.26	Professional		$478.63	$630.96	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $1,122.02 / $4,677.35	Professional	50	$407.38	$1,122.02	$4,677.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $1,148.15	Professional		$630.96	$660.69	$1,148.15
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $977.24 / $1,698.24	Professional	50	$954.99	$977.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,000.00	Professional		$436.52	$616.60	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,096.48	Professional		$501.19	$660.69	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $10,471.29	Facility		$2,818.38	$4,897.79	$10,471.29
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $4,466.84 / $7,943.28	Facility	50	$2,884.03	$4,466.84	$7,943.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Professional		$602.56	$602.56	$616.60
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $912.01 / $1,258.93	Professional	50	$851.14	$912.01	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,265.80 / $8,511.38	Facility		$812.83	$4,265.80	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $3,981.07 / $6,309.57	Facility	50	$794.33	$3,981.07	$6,309.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,584.89	Professional		$478.63	$691.83	$1,584.89
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $1,000.00 / $4,677.35	Professional	50	$363.08	$1,000.00	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,258.93	Professional		$676.08	$676.08	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $912.01	Facility		$489.78	$630.96	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $912.01	Professional		$478.63	$630.96	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $7,585.78	Facility		$1,348.96	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,023.29	Professional		$457.09	$630.96	$1,023.29