Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,691.53 / $8,317.64	Facility		$478.63	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $316.23	Professional		$104.71	$141.25	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $194.98 / $933.25	Professional	50	$151.36	$194.98	$933.25
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 $128.82 / $134.90 / $229.09	Professional		$128.82	$134.90	$229.09
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $199.53 / $346.74	Professional	50	$194.98	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $229.09	Professional		$95.50	$128.82	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $223.87	Professional		$165.96	$165.96	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $223.87	Professional		$97.72	$131.83	$223.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $165.96	Professional		$144.54	$162.18	$165.96
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $245.47 / $245.47	Professional	50	$223.87	$245.47	$245.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,089.30 / $7,244.36	Facility		$245.47	$2,089.30	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $331.13	Professional		$104.71	$147.91	$331.13
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $194.98 / $933.25	Professional	50	$154.88	$194.98	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $309.03	Professional		$257.04	$309.03	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $912.01	Facility		$112.20	$141.25	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $912.01	Professional		$75.86	$138.04	$912.01
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 $95.50 / $131.83 / $223.87	Professional		$95.50	$131.83	$223.87