Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,570.40 / $7,762.47	Facility		$588.84	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $2,818.38	Professional		$436.52	$588.84	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $575.44	Professional		$354.81	$537.03	$575.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,174.90	Professional		$630.96	$1,000.00	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,023.29	Professional		$446.68	$630.96	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,148.15	Professional		$812.83	$1,047.13	$1,148.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,174.90	Professional		$524.81	$794.33	$1,174.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $10,964.78	Facility		$1,621.81	$4,168.69	$10,964.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $630.96	Professional		$575.44	$588.84	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,187.76 / $7,244.36	Facility		$645.65	$2,187.76	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,621.81	Professional		$446.68	$676.08	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $616.60	Facility		$407.38	$467.74	$616.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $630.96	Professional		$407.38	$478.63	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,754.23 / $6,606.93	Facility		$812.83	$2,754.23	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,071.52	Professional		$426.58	$616.60	$1,071.52