Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $380.19 / $6,165.95	Facility		$77.62	$380.19	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $1,071.52 / $1,513.56	Facility	50	$467.74	$1,071.52	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $323.59	Professional		$50.12	$109.65	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $371.54 / $741.31	Professional	50	$154.88	$371.54	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $120.23	Professional		$69.18	$89.13	$120.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $199.53	Professional		$72.44	$117.49	$199.53
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $181.97 / $295.12	Professional	50	$104.71	$181.97	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $186.21	Professional		$51.29	$91.20	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $141.25	Professional		$100.00	$125.89	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $173.78	Professional		$54.95	$114.82	$173.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $338.84 / $630.96	Facility		$177.83	$338.84	$630.96
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	50	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $426.58 / $5,754.40	Facility		$79.43	$426.58	$5,754.40
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $1,071.52 / $1,513.56	Facility	50	$467.74	$1,071.52	$1,513.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $257.04	Professional		$48.98	$102.33	$257.04
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $338.84 / $741.31	Professional	50	$154.88	$338.84	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $165.96	Facility		$83.18	$83.18	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $269.15	Professional		$89.13	$158.49	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $478.63	Facility		$45.71	$75.86	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $323.59	Professional		$44.67	$53.70	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $3,890.45	Facility		$162.18	$524.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $147.91	Professional		$44.67	$79.43	$147.91