Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,630.78 / $8,128.31	Facility		$257.04	$3,630.78	$8,128.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility	50	$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $575.44	Professional		$100.00	$186.21	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $380.19 / $912.01	Professional	50	$154.88	$380.19	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $186.21	Professional		$120.23	$151.36	$186.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $229.09 / $363.08	Professional	50	$208.93	$229.09	$363.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $57,543.99	Facility		$4,466.84	$5,370.32	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $363.08	Professional		$158.49	$245.47	$363.08
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $363.08 / $549.54	Professional	50	$208.93	$363.08	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $316.23	Professional		$154.88	$204.17	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $245.47	Professional		$173.78	$223.87	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $309.03	Professional		$154.88	$204.17	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,548.13 / $6,025.60	Facility		$1,047.13	$3,548.13	$6,025.60
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $3,467.37 / $6,606.93	Facility	50	$1,047.13	$3,467.37	$6,606.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,235.94 / $8,317.64	Facility		$257.04	$3,235.94	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility	50	$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $549.54	Professional		$141.25	$208.93	$549.54
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $416.87 / $912.01	Professional	50	$158.49	$416.87	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,000.00 / $6,606.93	Facility		$208.93	$1,000.00	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $346.74	Professional		$186.21	$257.04	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $794.33	Facility		$154.88	$309.03	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $223.87 / $478.63	Professional		$70.79	$223.87	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $5,495.41	Facility		$912.01	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $309.03	Professional		$131.83	$177.83	$309.03