Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,290.87 / $7,762.47	Facility		$501.19	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $389.05 / $870.96	Professional		$114.82	$389.05	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
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 $165.96 / $660.69 / $831.76	Professional		$165.96	$660.69	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $891.25 / $1,778.28	Facility		$199.53	$891.25	$1,778.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $812.83	Professional		$123.03	$234.42	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,122.02	Professional		$575.44	$794.33	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $524.81 / $870.96	Professional		$151.36	$524.81	$870.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $4,073.80	Facility		$2,454.71	$3,090.30	$4,073.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,995.26 / $7,244.36	Facility		$537.03	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $407.38 / $1,122.02	Professional		$120.23	$407.38	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $1,096.48	Facility		$194.98	$257.04	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $1,148.15	Professional		$194.98	$323.59	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $478.63	Facility		$114.82	$309.03	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $309.03 / $489.78	Professional		$114.82	$309.03	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $724.44	Professional		$109.65	$213.80	$724.44