Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $2,454.71	Professional		$794.33	$933.25	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
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 $1,000.00 / $1,258.93 / $1,380.38	Professional		$1,000.00	$1,258.93	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,778.28	Professional		$794.33	$1,071.52	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,778.28	Professional		$1,023.29	$1,380.38	$1,778.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,819.70	Professional		$851.14	$1,148.15	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $28,840.32	Facility		$4,570.88	$4,570.88	$28,840.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $912.01	Professional		$691.83	$870.96	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,754.23	Professional		$831.76	$1,258.93	$2,754.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Facility		$1,071.52	$1,071.52	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,862.09	Professional		$1,148.15	$1,288.25	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,071.52	Facility		$575.44	$575.44	$1,071.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $933.25	Professional		$575.44	$851.14	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59