Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,090.30 / $8,317.64	Facility		$549.54	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $1,148.15	Professional		$295.12	$467.74	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $851.14	Professional		$501.19	$524.81	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $870.96	Professional		$223.87	$426.58	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,148.15	Professional		$660.69	$912.01	$1,148.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $575.44 / $912.01	Professional		$223.87	$575.44	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $7,413.10	Facility		$1,698.24	$3,801.89	$7,413.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,511.89 / $7,762.47	Facility		$575.44	$2,511.89	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $1,258.93	Professional		$309.03	$537.03	$1,258.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,096.48	Facility		$288.40	$288.40	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $1,096.48	Professional		$309.03	$371.54	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $501.19	Facility		$117.49	$323.59	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $501.19	Professional		$309.03	$407.38	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $5,888.44	Facility		$912.01	$2,691.53	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $758.58	Professional		$229.09	$436.52	$758.58