Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,548.82	Professional		$645.65	$741.31	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
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 $1,023.29 / $1,023.29 / $1,096.48	Professional		$1,023.29	$1,023.29	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,380.38	Professional		$645.65	$851.14	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,445.44	Professional		$831.76	$1,122.02	$1,445.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,445.44	Professional		$691.83	$912.01	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $14,454.40	Facility		$11,220.18	$11,220.18	$14,454.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,801.89 / $8,317.64	Facility		$831.76	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $2,089.30	Professional		$676.08	$954.99	$2,089.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,548.82	Facility		$851.14	$851.14	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,445.44	Professional		$891.25	$1,023.29	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $831.76	Facility		$467.74	$467.74	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $758.58	Professional		$467.74	$478.63	$758.58
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 $588.84 / $812.83 / $1,318.26	Professional		$588.84	$812.83	$1,318.26