Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,011.87 / $8,511.38	Facility		$812.83	$5,011.87	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $6,025.60 / $8,317.64	Facility	50	$5,128.61	$6,025.60	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,698.24	Professional		$549.54	$741.31	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $1,071.52 / $4,466.84	Professional	50	$794.33	$1,071.52	$4,466.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	50	$794.33	$794.33	$794.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $1,318.26	Professional		$724.44	$741.31	$1,318.26
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,071.52 / $1,122.02 / $1,949.84	Professional	50	$1,071.52	$1,122.02	$1,949.84
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 $501.19 / $707.95 / $1,148.15	Professional		$501.19	$707.95	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,230.27	Professional		$512.86	$758.58	$1,230.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,606.93 / $10,471.29	Facility		$3,090.30	$6,606.93	$10,471.29
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	22	$11,220.18	$11,220.18	$11,220.18
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $5,128.61 / $10,715.19	Facility	50	$3,235.94	$5,128.61	$10,715.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $977.24	Professional		$676.08	$724.44	$977.24
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional	50	$1,071.52	$1,071.52	$1,479.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,511.38	Facility		$831.76	$4,265.80	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $5,495.41 / $8,317.64	Facility	50	$1,584.89	$5,495.41	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,862.09	Professional		$562.34	$812.83	$1,862.09
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $1,071.52 / $4,466.84	Professional	50	$794.33	$1,071.52	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,412.54	Professional		$812.83	$812.83	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $758.58	Facility		$537.03	$575.44	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $758.58	Professional		$416.87	$575.44	$758.58
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 $512.86 / $724.44 / $1,174.90	Professional		$512.86	$724.44	$1,174.90