Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $676.08	Professional		$208.93	$323.59	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,995.26 / $3,890.45	Facility		$346.74	$1,995.26	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $562.34	Professional		$218.78	$331.13	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $691.83	Professional		$354.81	$478.63	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $549.54	Professional		$223.87	$338.84	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,918.31 / $10,964.78	Facility		$5,623.41	$6,918.31	$10,964.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $891.25	Professional		$213.80	$380.19	$891.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $707.95	Facility		$257.04	$275.42	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $602.56 / $776.25	Professional		$257.04	$602.56	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $323.59	Facility		$208.93	$251.19	$323.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $331.13	Professional		$204.17	$309.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,951.21 / $9,549.93	Facility		$851.14	$2,951.21	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $501.19	Professional		$194.98	$295.12	$501.19