Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,715.35 / $7,762.47	Facility		$602.56	$3,715.35	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,318.26	Professional		$398.11	$575.44	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
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 $575.44 / $588.84 / $1,071.52	Professional		$575.44	$588.84	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,047.13	Professional		$407.38	$588.84	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,202.26	Professional		$691.83	$954.99	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $977.24	Professional		$398.11	$616.60	$977.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,818.38 / $13,489.63	Facility		$691.83	$2,818.38	$13,489.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $616.60	Professional		$407.38	$436.52	$616.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,630.78 / $7,762.47	Facility		$660.69	$3,630.78	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,513.56	Professional		$416.87	$660.69	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,202.26	Facility		$549.54	$549.54	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,288.25	Professional		$575.44	$870.96	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $478.63 / $562.34	Facility		$223.87	$478.63	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $691.83	Professional		$407.38	$478.63	$691.83
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 $407.38 / $588.84 / $977.24	Professional		$407.38	$588.84	$977.24