Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,884.03 / $8,317.64	Facility		$524.81	$2,884.03	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,071.52	Professional		$331.13	$489.78	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $478.63	Professional		$331.13	$338.84	$478.63
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 $501.19 / $524.81 / $933.25	Professional		$501.19	$524.81	$933.25
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 $354.81 / $524.81 / $912.01	Professional		$354.81	$524.81	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,071.52	Professional		$630.96	$851.14	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $870.96	Professional		$389.05	$549.54	$870.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,235.94 / $10,000.00	Facility		$1,258.93	$3,235.94	$10,000.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $416.87	Professional		$331.13	$371.54	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,570.40 / $8,317.64	Facility		$537.03	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,174.90	Professional		$354.81	$549.54	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,071.52	Facility		$562.34	$562.34	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,122.02	Professional		$562.34	$707.95	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $512.86	Facility		$346.74	$436.52	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $512.86	Professional		$346.74	$407.38	$512.86
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 $346.74 / $524.81 / $851.14	Professional		$346.74	$524.81	$851.14