Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,951.21 / $8,317.64	Facility		$457.09	$2,951.21	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $954.99	Professional		$295.12	$457.09	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $912.01	Professional		$199.53	$416.87	$912.01
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 $478.63 / $616.60 / $891.25	Professional		$478.63	$616.60	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $870.96	Professional		$331.13	$489.78	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,000.00	Professional		$575.44	$794.33	$1,000.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $812.83	Professional		$363.08	$512.86	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,248.07 / $12,022.64	Facility		$691.83	$5,248.07	$12,022.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $489.78	Professional		$346.74	$398.11	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,570.40 / $8,317.64	Facility		$489.78	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $1,122.02	Professional		$316.23	$512.86	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,023.29	Facility		$489.78	$489.78	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,071.52	Professional		$512.86	$616.60	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $501.19	Facility		$309.03	$407.38	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $478.63	Professional		$309.03	$323.59	$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 $323.59 / $489.78 / $794.33	Professional		$323.59	$489.78	$794.33