Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,890.45 / $8,511.38	Facility		$676.08	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,412.54	Professional		$446.68	$630.96	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,258.93	Professional		$691.83	$1,023.29	$1,258.93
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 Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,174.90	Professional		$416.87	$630.96	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,380.38	Professional		$794.33	$1,071.52	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $1,071.52	Professional		$281.84	$660.69	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,762.47 / $15,135.61	Facility		$1,862.09	$7,762.47	$15,135.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $537.03	Professional		$467.74	$501.19	$537.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,630.78 / $8,317.64	Facility		$676.08	$3,630.78	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,659.59	Professional		$478.63	$741.31	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $1,412.54	Professional		$446.68	$1,000.00	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $467.74 / $478.63	Facility		$363.08	$467.74	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $630.96	Professional		$363.08	$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 $416.87 / $645.65 / $1,096.48	Professional		$416.87	$645.65	$1,096.48