Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,981.07 / $8,317.64	Facility		$537.03	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $912.01	Professional		$295.12	$457.09	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 / $489.78	Professional		$457.09	$457.09	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $851.14	Professional		$302.00	$467.74	$851.14
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 $323.59 / $512.86 / $812.83	Professional		$323.59	$512.86	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,709.64 / $11,748.98	Facility		$3,467.37	$8,709.64	$11,748.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $446.68	Professional		$323.59	$338.84	$446.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,630.78 / $8,317.64	Facility		$645.65	$3,630.78	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,174.90	Professional		$309.03	$512.86	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,000.00	Facility		$467.74	$467.74	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,047.13	Professional		$489.78	$588.84	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $467.74	Facility		$316.23	$457.09	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $478.63	Professional		$316.23	$467.74	$478.63
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 $302.00 / $467.74 / $758.58	Professional		$302.00	$467.74	$758.58