Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,691.53 / $8,511.38	Facility		$338.84	$2,691.53	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $616.60	Professional		$162.18	$239.88	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $363.08	Professional		$234.42	$288.40	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $575.44	Facility		$213.80	$380.19	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $426.58	Professional		$165.96	$245.47	$426.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $489.78	Professional		$251.19	$338.84	$489.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $398.11	Professional		$177.83	$245.47	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,709.64 / $14,125.38	Facility		$3,715.35	$8,709.64	$14,125.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,290.87 / $8,317.64	Facility		$338.84	$2,290.87	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $630.96	Professional		$169.82	$281.84	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $489.78	Facility		$208.93	$208.93	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $537.03	Professional		$208.93	$436.52	$537.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $186.21 / $478.63	Facility		$14.13	$186.21	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $478.63	Professional		$158.49	$245.47	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $9,549.93	Facility		$549.54	$2,398.83	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $354.81	Professional		$144.54	$213.80	$354.81