Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,715.35 / $8,317.64	Facility		$537.03	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,230.27	Professional		$331.13	$501.19	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $851.14	Professional		$489.78	$501.19	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $912.01	Professional		$371.54	$562.34	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,096.48	Professional		$645.65	$870.96	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,148.15	Professional		$501.19	$676.08	$1,148.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $16,595.87	Facility		$2,951.21	$4,073.80	$16,595.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,691.53 / $8,317.64	Facility		$588.84	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,318.26	Professional		$363.08	$602.56	$1,318.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,047.13	Facility		$660.69	$660.69	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $1,047.13	Professional		$691.83	$741.31	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $616.60	Facility		$354.81	$416.87	$616.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $512.86	Professional		$354.81	$416.87	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $8,912.51	Facility		$912.01	$2,754.23	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $851.14	Professional		$363.08	$537.03	$851.14