Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,128.61 / $10,715.19	Facility		$524.81	$5,128.61	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,096.48	Professional		$257.04	$371.54	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $257.04	Professional		$223.87	$234.42	$257.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $269.15	Professional		$229.09	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $4,168.69 / $8,128.31	Facility		$457.09	$4,168.69	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $549.54	Professional		$245.47	$316.23	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $489.78	Professional		$257.04	$346.74	$489.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $436.52	Professional		$245.47	$281.84	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $10,964.78 / $26,302.68	Facility		$1,659.59	$10,964.78	$26,302.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,265.80 / $10,000.00	Facility		$478.63	$4,265.80	$10,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $912.01	Professional		$257.04	$407.38	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $549.54	Facility		$316.23	$338.84	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $588.84	Professional		$316.23	$467.74	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $933.25	Facility		$263.03	$346.74	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $933.25	Professional		$263.03	$467.74	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,951.21 / $16,982.44	Facility		$851.14	$2,951.21	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $467.74	Professional		$218.78	$288.40	$467.74