Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,691.53 / $8,317.64	Facility		$794.33	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,096.48 / $1,995.26	Professional		$257.04	$1,096.48	$1,995.26
Ambetter 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
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $2,454.71	Professional		$263.03	$537.03	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,995.26	Professional		$1,905.46	$1,905.46	$1,995.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,778.28 / $3,162.28	Professional		$323.59	$1,778.28	$3,162.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,290.87 / $8,317.64	Facility		$616.60	$2,290.87	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,096.48 / $2,818.38	Professional		$269.15	$1,096.48	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $3,467.37	Professional		$1,737.80	$1,862.09	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,122.02 / $1,148.15	Facility		$234.42	$1,122.02	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,122.02 / $1,174.90	Professional		$234.42	$1,122.02	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $954.99 / $2,454.71	Professional		$251.19	$954.99	$2,454.71