Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,818.38 / $8,317.64	Facility		$489.78	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,659.59	Professional		$302.00	$512.86	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $1,023.29	Professional		$295.12	$309.03	$1,023.29
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 / $602.56 / $870.96	Professional		$501.19	$602.56	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $891.25	Professional		$316.23	$489.78	$891.25
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 $407.38 / $676.08 / $912.01	Professional		$407.38	$676.08	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $5,495.41	Facility		$1,698.24	$3,388.44	$5,495.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $371.54	Professional		$263.03	$338.84	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $8,317.64	Facility		$537.03	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,348.96	Professional		$323.59	$562.34	$1,348.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,122.02	Facility		$416.87	$416.87	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,122.02	Professional		$436.52	$741.31	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $501.19	Facility		$275.42	$398.11	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $501.19	Professional		$302.00	$416.87	$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 $302.00 / $467.74 / $812.83	Professional		$302.00	$467.74	$812.83