Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,715.35 / $8,317.64	Facility		$741.31	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $501.19 / $1,905.46	Professional		$117.49	$501.19	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $125.89	Professional		$100.00	$100.00	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $562.34	Professional		$478.63	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $575.44 / $1,862.09	Professional		$229.09	$575.44	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,137.96	Professional		$1,288.25	$1,479.11	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,174.90 / $2,290.87	Professional		$269.15	$1,174.90	$2,290.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $281.84 / $363.08	Professional		$275.42	$281.84	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $912.01 / $2,511.89	Professional		$229.09	$912.01	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,621.81 / $2,398.83	Professional		$302.00	$1,621.81	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $275.42 / $1,000.00	Facility		$79.43	$275.42	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $758.58 / $1,023.29	Professional		$199.53	$758.58	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $4,265.80	Facility		$144.54	$645.65	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $501.19 / $1,698.24	Professional		$218.78	$501.19	$1,698.24