Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,630.78 / $8,317.64	Facility		$758.58	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $812.83	Professional		$263.03	$323.59	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
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 $398.11 / $426.58 / $478.63	Professional		$398.11	$426.58	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $2,290.87	Facility		$478.63	$758.58	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $630.96	Professional		$263.03	$354.81	$630.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $501.19	Professional		$257.04	$346.74	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $489.78	Professional		$257.04	$309.03	$489.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,570.40 / $8,317.64	Facility		$758.58	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $954.99	Professional		$275.42	$416.87	$954.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $457.09 / $562.34	Facility		$371.54	$457.09	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $645.65	Professional		$371.54	$467.74	$645.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $309.03 / $354.81	Facility		$275.42	$309.03	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $309.03	Professional		$263.03	$288.40	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $6,025.60	Facility		$549.54	$2,398.83	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $512.86	Professional		$234.42	$316.23	$512.86