Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,818.38 / $8,317.64	Facility		$645.65	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,698.24	Professional		$467.74	$707.95	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $1,348.96	Professional		$691.83	$707.95	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,288.25	Professional		$489.78	$741.31	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,445.44	Professional		$831.76	$1,148.15	$1,445.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,258.93	Professional		$549.54	$741.31	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $10,964.78	Facility		$1,584.89	$6,918.31	$10,964.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $575.44	Professional		$489.78	$512.86	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $8,317.64	Facility		$676.08	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,737.80	Professional		$489.78	$776.25	$1,737.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,445.44	Facility		$758.58	$758.58	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,698.24	Professional		$724.44	$954.99	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $676.08	Facility		$416.87	$549.54	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $707.95	Professional		$416.87	$501.19	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,174.90	Professional		$489.78	$724.44	$1,174.90