Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $8,912.51	Facility		$1,096.48	$4,786.30	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $3,311.31	Professional		$676.08	$1,096.48	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $707.95	Professional		$676.08	$707.95	$707.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,380.38	Professional		$741.31	$1,023.29	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,479.11	Professional		$691.83	$912.01	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,445.44	Professional		$831.76	$1,122.02	$1,445.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,479.11	Professional		$707.95	$912.01	$1,479.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,918.31 / $11,748.98	Facility		$4,570.88	$6,918.31	$11,748.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $870.96	Professional		$812.83	$831.76	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $8,317.64	Facility		$1,023.29	$4,073.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,691.53	Professional		$691.83	$1,122.02	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,513.56	Facility		$457.09	$457.09	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,548.82	Professional		$426.58	$575.44	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $741.31	Facility		$194.98	$194.98	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $691.83 / $758.58	Professional		$194.98	$691.83	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $8,912.51	Facility		$1,659.59	$3,548.13	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,445.44	Professional		$645.65	$870.96	$1,445.44