Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,090.30 / $8,511.38	Facility		$537.03	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,148.15	Professional		$295.12	$478.63	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $371.54 / $512.86	Professional		$147.91	$371.54	$512.86
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 / $616.60 / $831.76	Professional		$489.78	$616.60	$831.76
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 / $478.63 / $851.14	Professional		$316.23	$478.63	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,122.02	Professional		$645.65	$891.25	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $891.25	Professional		$407.38	$630.96	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $5,754.40	Facility		$2,137.96	$3,388.44	$5,754.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $2,290.87	Professional		$302.00	$436.52	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,691.53 / $8,317.64	Facility		$537.03	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,202.26	Professional		$316.23	$537.03	$1,202.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,071.52	Facility		$489.78	$489.78	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,071.52	Professional		$524.81	$616.60	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $489.78	Facility		$309.03	$416.87	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $501.19	Professional		$309.03	$416.87	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $5,888.44	Facility		$1,348.96	$3,162.28	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $776.25	Professional		$309.03	$467.74	$776.25