Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,467.37 / $7,244.36	Facility		$645.65	$3,467.37	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $446.68 / $2,290.87	Professional		$144.54	$446.68	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $436.52	Professional		$141.25	$218.78	$436.52
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 $416.87 / $812.83 / $1,230.27	Professional		$416.87	$812.83	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $467.74 / $1,047.13	Professional		$181.97	$467.74	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $812.83	Professional		$575.44	$741.31	$812.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $676.08 / $1,000.00	Professional		$204.17	$676.08	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,548.13 / $7,244.36	Facility		$1,230.27	$3,548.13	$7,244.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $398.11	Professional		$165.96	$181.97	$398.11
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $7,762.47	Facility		$2,884.03	$3,801.89	$7,762.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,388.44 / $7,244.36	Facility		$645.65	$3,388.44	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $467.74 / $1,445.44	Professional		$151.36	$467.74	$1,445.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Facility		$794.33	$794.33	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,380.38	Professional		$724.44	$912.01	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $380.19 / $707.95	Facility		$158.49	$380.19	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $501.19	Professional		$162.18	$380.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $5,888.44	Facility		$1,000.00	$2,691.53	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $407.38 / $977.24	Professional		$154.88	$407.38	$977.24