Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $346.74 / $5,370.32	Facility		$50.12	$346.74	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $56.23 / $363.08 / $4,265.80	Facility	50	$56.23	$363.08	$4,265.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	52	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $144.54	Professional		$30.20	$58.88	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $97.72 / $275.42	Professional	50	$53.70	$97.72	$275.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.62 / $43.65 / $95.50	Professional	52	$31.62	$43.65	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $74.13	Professional		$37.15	$44.67	$74.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $61.66 / $109.65	Professional	50	$47.86	$61.66	$109.65
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 $47.86 / $48.98 / $107.15	Professional		$47.86	$48.98	$107.15
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $70.79 / $138.04	Professional	50	$46.77	$70.79	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $95.50	Professional		$33.88	$53.70	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $81.28	Professional		$57.54	$74.13	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $85.11	Professional		$36.31	$60.26	$85.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $302.00	Facility		$63.10	$173.78	$302.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $47.86 / $199.53 / $275.42	Facility	50	$47.86	$199.53	$275.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $61.66	Professional		$60.26	$60.26	$61.66
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $426.58 / $4,786.30	Facility		$47.86	$426.58	$4,786.30
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $56.23 / $346.74 / $3,162.28	Facility	50	$56.23	$346.74	$3,162.28
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	52	$109.65	$109.65	$109.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $134.90	Professional		$32.36	$57.54	$134.90
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $100.00 / $288.40	Professional	50	$54.95	$100.00	$288.40
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $31.62 / $43.65 / $95.50	Professional	52	$31.62	$43.65	$95.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $97.72	Facility		$70.79	$95.50	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $104.71	Professional		$70.79	$85.11	$104.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $45.71 / $54.95	Facility		$8.71	$45.71	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $30.90 / $112.20	Professional		$8.71	$30.90	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $489.78 / $3,890.45	Facility		$120.23	$489.78	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $75.86	Professional		$29.51	$46.77	$75.86