Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $2,511.89	Professional		$575.44	$933.25	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $977.24 / $1,023.29 / $1,698.24	Professional		$977.24	$1,023.29	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	AS	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,698.24	Professional		$588.84	$954.99	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,137.96	Professional		$1,230.27	$1,698.24	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,737.80	Professional		$724.44	$1,071.52	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $15,488.17 / $31,622.78	Facility		$5,248.07	$15,488.17	$31,622.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $831.76	Professional		$588.84	$616.60	$831.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,248.07 / $10,715.19	Facility		$912.01	$5,248.07	$10,715.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $2,344.23	Professional		$602.56	$1,047.13	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,089.30	Facility		$954.99	$954.99	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,089.30	Professional		$891.25	$1,202.26	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $933.25	Facility		$691.83	$741.31	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $977.24	Professional		$575.44	$691.83	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,584.89	Professional		$588.84	$933.25	$1,584.89