Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,754.23 / $8,317.64	Facility		$549.54	$2,754.23	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $1,096.48	Professional		$323.59	$457.09	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $616.60	Professional		$478.63	$478.63	$616.60
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 $467.74 / $676.08 / $870.96	Professional		$467.74	$676.08	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $870.96	Professional		$346.74	$512.86	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $891.25	Professional		$630.96	$812.83	$891.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $851.14	Professional		$346.74	$616.60	$851.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $6,606.93	Facility		$1,047.13	$3,388.44	$6,606.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $7,762.47	Facility		$575.44	$2,454.71	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,122.02	Professional		$331.13	$524.81	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,000.00	Facility		$467.74	$467.74	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,000.00	Professional		$467.74	$776.25	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $323.59 / $457.09	Facility		$281.84	$323.59	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $489.78	Professional		$281.84	$331.13	$489.78
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 $331.13 / $467.74 / $758.58	Professional		$331.13	$467.74	$758.58