Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $6,309.57 / $12,589.25	Facility		$707.95	$6,309.57	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,511.89 / $9,772.37	Professional		$478.63	$2,511.89	$9,772.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,762.47 / $12,882.50	Professional		$5,128.61	$7,762.47	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,148.15 / $11,481.54	Professional		$512.86	$1,148.15	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $9,772.37 / $12,022.64	Professional		$6,918.31	$9,772.37	$12,022.64
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $7,585.78 / $10,000.00	Professional		$1,047.13	$7,585.78	$10,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $16,982.44 / $34,673.69	Facility		$4,168.69	$16,982.44	$34,673.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $1,148.15	Professional		$512.86	$549.54	$1,148.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,025.60 / $12,022.64	Facility		$758.58	$6,025.60	$12,022.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,691.53 / $13,489.63	Professional		$501.19	$2,691.53	$13,489.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $12,302.69	Professional		$602.56	$602.56	$12,302.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,041.74 / $7,585.78	Facility		$501.19	$2,041.74	$7,585.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,041.74 / $6,025.60	Professional		$478.63	$2,041.74	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $22,387.21	Facility		$2,454.71	$5,128.61	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $4,168.69 / $10,715.19	Professional		$501.19	$4,168.69	$10,715.19