Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,715.35 / $8,317.64	Facility		$537.03	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $794.33	Professional		$245.47	$371.54	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Professional		$354.81	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,412.54 / $3,890.45	Facility		$416.87	$1,412.54	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $630.96	Professional		$239.88	$354.81	$630.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $724.44	Professional		$380.19	$524.81	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $602.56	Professional		$251.19	$363.08	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $5,623.41	Facility		$1,258.93	$2,089.30	$5,623.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,691.53 / $8,317.64	Facility		$645.65	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $954.99	Professional		$257.04	$416.87	$954.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $776.25	Facility		$269.15	$288.40	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $660.69 / $812.83	Professional		$269.15	$660.69	$812.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $407.38	Facility		$213.80	$354.81	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $407.38	Professional		$213.80	$363.08	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $10,232.93	Facility		$1,584.89	$4,168.69	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $537.03	Professional		$218.78	$323.59	$537.03