Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,715.35 / $8,317.64	Facility		$588.84	$3,715.35	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $3,801.89 / $8,511.38	Facility	50	$478.63	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $354.81 / $676.08	Professional		$162.18	$354.81	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $616.60 / $1,949.84	Professional	50	$114.82	$616.60	$1,949.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $707.95	Professional		$354.81	$426.58	$707.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $676.08 / $1,047.13	Professional	50	$537.03	$676.08	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $575.44	Professional		$208.93	$346.74	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $630.96	Professional		$251.19	$436.52	$630.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $10,232.93 / $20,892.96	Facility		$1,412.54	$10,232.93	$20,892.96
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.50 / $3,630.78 / $10,471.29	Facility	50	$0.50	$3,630.78	$10,471.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $457.09	Professional		$251.19	$269.15	$457.09
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $407.38 / $758.58	Professional	50	$398.11	$407.38	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,235.94 / $8,317.64	Facility		$724.44	$3,235.94	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $478.63 / $3,715.35 / $8,511.38	Facility	50	$478.63	$3,715.35	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $912.01	Professional		$213.80	$398.11	$912.01
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $616.60 / $1,995.26	Professional	50	$114.82	$616.60	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $724.44	Professional		$512.86	$512.86	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $416.87 / $724.44	Facility		$213.80	$416.87	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $575.44	Professional		$208.93	$389.05	$575.44
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 $208.93 / $354.81 / $588.84	Professional		$208.93	$354.81	$588.84