Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,011.87 / $11,748.98	Facility		$831.76	$5,011.87	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $933.25	Professional		$204.17	$346.74	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $229.09	Professional		$95.50	$141.25	$229.09
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 $190.55 / $190.55 / $323.59	Professional		$190.55	$190.55	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,995.26 / $3,890.45	Facility		$363.08	$1,995.26	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $457.09	Professional		$190.55	$257.04	$457.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $407.38	Professional		$208.93	$281.84	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $346.74	Professional		$190.55	$218.78	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,585.78 / $14,454.40	Facility		$1,318.26	$7,585.78	$14,454.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,570.88 / $11,220.18	Facility		$588.84	$4,570.88	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $812.83	Professional		$204.17	$346.74	$812.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $436.52	Facility		$218.78	$245.47	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $467.74	Professional		$218.78	$371.54	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $691.83	Facility		$208.93	$269.15	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $691.83	Professional		$204.17	$269.15	$691.83
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 $169.82 / $223.87 / $363.08	Professional		$169.82	$223.87	$363.08