Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,630.78 / $8,317.64	Facility		$954.99	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,000.00	Professional		$933.25	$933.25	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,548.82	Professional		$630.96	$933.25	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,737.80	Professional		$1,000.00	$1,348.96	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,819.70	Professional		$794.33	$1,071.52	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,882.50 / $16,982.44	Facility		$5,370.32	$12,882.50	$16,982.44
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 $660.69 / $1,023.29 / $2,290.87	Professional		$660.69	$1,023.29	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,621.81	Facility		$812.83	$812.83	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,949.84	Professional		$776.25	$1,023.29	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $831.76	Facility		$407.38	$707.95	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $812.83	Professional		$407.38	$645.65	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11