Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $8,317.64	Facility		$933.25	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $3,162.28	Professional		$676.08	$933.25	$3,162.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,230.27	Professional		$794.33	$1,148.15	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,995.26	Professional		$1,318.26	$1,348.96	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,548.82	Professional		$691.83	$891.25	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,258.93	Professional		$891.25	$1,148.15	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,584.89	Professional		$676.08	$1,000.00	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $10,964.78	Facility		$2,630.27	$4,265.80	$10,964.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $8,317.64	Facility		$912.01	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $2,290.87	Professional		$691.83	$1,000.00	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $776.25	Facility		$407.38	$407.38	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $794.33	Professional		$407.38	$467.74	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $10,964.78	Facility		$912.01	$2,754.23	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,548.82	Professional		$645.65	$870.96	$1,548.82