Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,677.35 / $9,120.11	Facility		$758.58	$4,677.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,698.24	Professional		$398.11	$549.54	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $891.25	Professional		$323.59	$426.58	$891.25
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 $446.68 / $676.08 / $912.01	Professional		$446.68	$676.08	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $891.25	Professional		$426.58	$562.34	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $758.58	Professional		$524.81	$676.08	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $891.25	Professional		$436.52	$588.84	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,165.95 / $12,589.25	Facility		$2,630.27	$6,165.95	$12,589.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,890.45 / $8,317.64	Facility		$758.58	$3,890.45	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,348.96	Professional		$407.38	$588.84	$1,348.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $891.25	Facility		$489.78	$489.78	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $912.01	Professional		$489.78	$758.58	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $645.65	Facility		$302.00	$436.52	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $645.65	Professional		$309.03	$436.52	$645.65
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 $416.87 / $537.03 / $870.96	Professional		$416.87	$537.03	$870.96