Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,786.30 / $8,511.38	Facility		$588.84	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $218.78	Professional		$75.86	$104.71	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $173.78 / $660.69	Professional	50	$109.65	$173.78	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $158.49	Professional		$93.33	$95.50	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $144.54 / $234.42	Professional	50	$138.04	$144.54	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $158.49	Professional		$114.82	$114.82	$158.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $194.98	Professional		$89.13	$109.65	$194.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $1,778.28	Facility		$478.63	$977.24	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,479.11 / $1,479.11 / $1,778.28	Facility	50	$1,479.11	$1,479.11	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $120.23	Professional		$95.50	$117.49	$120.23
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $173.78 / $173.78	Professional	50	$165.96	$173.78	$173.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,801.89 / $8,317.64	Facility		$724.44	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $229.09	Professional		$77.62	$109.65	$229.09
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $173.78 / $870.96	Professional	50	$109.65	$173.78	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $269.15	Professional		$229.09	$269.15	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $117.49 / $257.04	Facility		$10.00	$117.49	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $309.03	Professional		$45.71	$91.20	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,174.90 / $3,890.45	Facility		$223.87	$1,174.90	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $162.18	Professional		$70.79	$95.50	$162.18