Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,801.89 / $8,317.64	Facility		$446.68	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $831.76	Professional		$263.03	$426.58	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $281.84	Professional		$141.25	$269.15	$281.84
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 $446.68 / $467.74 / $831.76	Professional		$446.68	$467.74	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $812.83	Professional		$288.40	$446.68	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $954.99	Professional		$562.34	$758.58	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $776.25	Professional		$309.03	$489.78	$776.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $10,471.29	Facility		$3,715.35	$5,495.41	$10,471.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $354.81	Professional		$295.12	$302.00	$354.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,235.94 / $8,317.64	Facility		$478.63	$3,235.94	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,071.52	Professional		$281.84	$478.63	$1,071.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $954.99	Facility		$478.63	$478.63	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,000.00	Professional		$501.19	$616.60	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $467.74	Facility		$281.84	$436.52	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $467.74	Professional		$281.84	$446.68	$467.74
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 $281.84 / $457.09 / $741.31	Professional		$281.84	$457.09	$741.31