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 $141.25 / $208.93 / $524.81	Professional		$141.25	$208.93	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
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 $363.08 / $426.58 / $426.58	Professional		$363.08	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $1,000.00	Professional		$173.78	$190.55	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $331.13	Professional		$190.55	$281.84	$331.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $457.09	Professional		$229.09	$229.09	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,630.78	Facility		$1,096.48	$1,584.89	$3,630.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $407.38	Professional		$208.93	$251.19	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $8,317.64	Facility		$537.03	$2,290.87	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $588.84	Professional		$141.25	$204.17	$588.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Professional		$457.09	$457.09	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $354.81	Facility		$229.09	$229.09	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $354.81	Professional		$151.36	$229.09	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $436.52 / $776.25	Professional		$186.21	$436.52	$776.25