Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $8,317.64	Facility		$602.56	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,548.82	Professional		$426.58	$616.60	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $407.38 / $426.58	Professional		$28.18	$407.38	$426.58
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 $575.44 / $630.96 / $1,096.48	Professional		$575.44	$630.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,071.52	Professional		$436.52	$630.96	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,230.27	Professional		$707.95	$977.24	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,122.02	Professional		$537.03	$707.95	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,918.31 / $11,481.54	Facility		$4,168.69	$6,918.31	$11,481.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $524.81	Professional		$416.87	$457.09	$524.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,630.78 / $8,128.31	Facility		$616.60	$3,630.78	$8,128.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,445.44	Professional		$436.52	$691.83	$1,445.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,230.27	Facility		$724.44	$724.44	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,288.25	Professional		$758.58	$891.25	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $575.44 / $676.08	Facility		$426.58	$575.44	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $630.96	Professional		$416.87	$467.74	$630.96
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 $436.52 / $630.96 / $1,000.00	Professional		$436.52	$630.96	$1,000.00