Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,495.41 / $10,000.00	Facility		$954.99	$5,495.41	$10,000.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	22	$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $2,511.89	Professional		$524.81	$870.96	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $660.69	Professional		$302.00	$588.84	$660.69
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 $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,318.26	Professional		$524.81	$776.25	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,047.13	Professional		$741.31	$954.99	$1,047.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,122.02	Professional		$524.81	$812.83	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $11,220.18	Facility		$2,187.76	$6,456.54	$11,220.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,011.87 / $9,772.37	Facility		$933.25	$5,011.87	$9,772.37
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	22	$3,890.45	$3,890.45	$3,890.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $2,187.76	Professional		$575.44	$933.25	$2,187.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $12,882.50 / $26,302.68	Facility		$602.56	$12,882.50	$26,302.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $1,348.96	Professional		$537.03	$1,096.48	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $660.69	Facility		$588.84	$588.84	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $676.08	Professional		$588.84	$588.84	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,715.19	Facility		$1,348.96	$3,548.13	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,258.93	Professional		$478.63	$676.08	$1,258.93