Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,606.93 / $11,220.18	Facility		$724.44	$6,606.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,230.27 / $2,630.27	Professional		$288.40	$1,230.27	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $512.86	Professional		$128.82	$131.83	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $2,570.40	Professional		$1,096.48	$2,187.76	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $2,398.83	Professional		$331.13	$645.65	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,238.72	Professional		$2,187.76	$2,187.76	$2,238.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,698.24 / $2,630.27	Professional		$380.19	$1,698.24	$2,630.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $13,489.63 / $23,988.33	Facility		$4,570.88	$13,489.63	$23,988.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,445.44	Professional		$316.23	$562.34	$1,445.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,495.41 / $12,022.64	Facility		$741.31	$5,495.41	$12,022.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,174.90 / $3,311.31	Professional		$316.23	$1,174.90	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $338.84 / $3,890.45	Professional		$5.01	$338.84	$3,890.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $346.74 / $1,548.82	Facility		$288.40	$346.74	$1,548.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $1,548.82	Professional		$275.42	$346.74	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $17,378.01	Facility		$2,454.71	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,096.48 / $2,454.71	Professional		$309.03	$1,096.48	$2,454.71