Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,162.28 / $8,511.38	Facility		$912.01	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $2,570.40	Professional		$724.44	$977.24	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
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 $1,000.00 / $1,621.81 / $1,905.46	Professional		$1,000.00	$1,621.81	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,659.59	Professional		$741.31	$1,000.00	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,698.24	Professional		$1,202.26	$1,548.82	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,778.28	Professional		$812.83	$1,202.26	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,011.87 / $8,709.64	Facility		$1,819.70	$5,011.87	$8,709.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $1,380.38	Professional		$933.25	$977.24	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,398.83	Professional		$758.58	$1,047.13	$2,398.83
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 $416.87 / $812.83 / $1,000.00	Facility		$416.87	$812.83	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $812.83 / $1,000.00	Professional		$380.19	$812.83	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $6,606.93	Facility		$912.01	$2,754.23	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,737.80	Professional		$707.95	$1,000.00	$1,737.80