Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,073.80 / $8,317.64	Facility		$794.33	$4,073.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,818.38	Professional		$630.96	$870.96	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Professional		$1,096.48	$1,096.48	$1,288.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,584.89	Professional		$1,412.54	$1,412.54	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,412.54	Professional		$645.65	$870.96	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,513.56	Professional		$1,071.52	$1,380.38	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,548.82	Professional		$758.58	$1,096.48	$1,548.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,011.87 / $8,128.31	Facility		$1,202.26	$5,011.87	$8,128.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,479.11	Professional		$776.25	$831.76	$1,479.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,630.78 / $8,317.64	Facility		$776.25	$3,630.78	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $2,290.87	Professional		$645.65	$933.25	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $831.76	Facility		$363.08	$691.83	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $891.25	Professional		$478.63	$691.83	$891.25
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 $616.60 / $851.14 / $1,513.56	Professional		$616.60	$851.14	$1,513.56