Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,235.94 / $8,511.38	Facility		$588.84	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $1,000.00	Professional		$281.84	$467.74	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
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 $467.74 / $575.44 / $812.83	Professional		$467.74	$575.44	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $831.76	Professional		$316.23	$489.78	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,071.52	Professional		$616.60	$851.14	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $870.96	Professional		$316.23	$562.34	$870.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,888.44	Facility		$3,090.30	$3,890.45	$5,888.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $512.86	Professional		$316.23	$338.84	$512.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,202.26	Professional		$309.03	$524.81	$1,202.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,047.13	Facility		$588.84	$588.84	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $1,047.13	Professional		$645.65	$676.08	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $407.38 / $602.56	Facility		$190.55	$407.38	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $478.63	Professional		$288.40	$407.38	$478.63
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 $309.03 / $478.63 / $776.25	Professional		$309.03	$478.63	$776.25