Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $891.25	Professional		$302.00	$457.09	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Professional		$457.09	$457.09	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $870.96	Professional		$323.59	$501.19	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,023.29	Professional		$588.84	$812.83	$1,023.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $831.76	Professional		$281.84	$512.86	$831.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Professional		$346.74	$346.74	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,090.30 / $8,317.64	Facility		$912.01	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,174.90	Professional		$316.23	$512.86	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,023.29	Facility		$478.63	$478.63	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,071.52	Professional		$512.86	$602.56	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $467.74	Facility		$309.03	$407.38	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $549.54	Professional		$309.03	$407.38	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $776.25	Professional		$316.23	$478.63	$776.25