Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $4,265.80 / $4,265.80	Facility	50	$1,122.02	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $389.05	Professional		$123.03	$190.55	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $323.59 / $1,258.93	Professional	50	$100.00	$323.59	$1,258.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $275.42	Professional		$154.88	$162.18	$275.42
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $239.88 / $416.87	Professional	50	$234.42	$239.88	$416.87
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 $120.23 / $194.98 / $309.03	Professional		$120.23	$194.98	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $269.15	Professional		$194.98	$194.98	$269.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $380.19	Professional		$158.49	$223.87	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	50	$1,122.02	$1,122.02	$1,122.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $229.09	Professional		$186.21	$194.98	$229.09
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $295.12 / $295.12	Professional	50	$229.09	$295.12	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $7,762.47	Facility		$616.60	$2,344.23	$7,762.47
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $269.15 / $1,122.02 / $4,265.80	Facility	50	$269.15	$1,122.02	$4,265.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $416.87	Professional		$125.89	$194.98	$416.87
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $323.59 / $1,479.11	Professional	50	$100.00	$323.59	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Professional		$371.54	$371.54	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $309.03	Facility		$123.03	$165.96	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $165.96 / $346.74	Professional		$58.88	$165.96	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $891.25 / $3,890.45	Facility		$223.87	$891.25	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $288.40	Professional		$120.23	$169.82	$288.40