Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,786.30 / $8,511.38	Facility		$758.58	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,344.23 / $13,489.63	Professional		$707.95	$2,344.23	$13,489.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,071.52	Professional		$588.84	$891.25	$1,071.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $10,471.29 / $12,302.69	Professional		$5,248.07	$10,471.29	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $11,220.18	Professional		$741.31	$1,445.44	$11,220.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,471.29	Professional		$10,232.93	$10,232.93	$10,471.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $7,943.28 / $11,748.98	Professional		$851.14	$7,943.28	$11,748.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $23,988.33 / $51,286.14	Facility		$5,248.07	$23,988.33	$51,286.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,981.07 / $8,511.38	Facility		$776.25	$3,981.07	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,344.23 / $16,218.10	Professional		$741.31	$2,344.23	$16,218.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $776.25 / $19,054.61	Professional		$6.03	$776.25	$19,054.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $7,079.46	Facility		$645.65	$776.25	$7,079.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $6,918.31	Professional		$616.60	$776.25	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $35,481.34	Facility		$3,311.31	$8,128.31	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $5,011.87 / $11,220.18	Professional		$691.83	$5,011.87	$11,220.18