Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,073.80 / $7,762.47	Facility		$776.25	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,174.90 / $1,995.26	Professional		$323.59	$1,174.90	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 $724.44 / $1,621.81 / $2,137.96	Professional		$724.44	$1,621.81	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $2,238.72	Professional		$323.59	$676.08	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Professional		$2,238.72	$2,238.72	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,737.80 / $2,754.23	Professional		$416.87	$1,737.80	$2,754.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,511.38 / $14,454.40	Facility		$6,760.83	$8,511.38	$14,454.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,715.35 / $7,762.47	Facility		$831.76	$3,715.35	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,174.90 / $2,951.21	Professional		$331.13	$1,174.90	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,235.94	Professional		$1,819.70	$1,819.70	$3,235.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $977.24 / $4,168.69	Facility		$199.53	$977.24	$4,168.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $1,318.26	Professional		$199.53	$316.23	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $9,772.37	Facility		$2,089.30	$3,981.07	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,071.52 / $2,137.96	Professional		$316.23	$1,071.52	$2,137.96