Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,398.83 / $7,244.36	Facility		$467.74	$2,398.83	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $1,348.96	Professional		$257.04	$616.60	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $218.78 / $257.04	Professional		$213.80	$218.78	$257.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $954.99 / $1,122.02	Professional		$363.08	$954.99	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $1,778.28	Facility		$436.52	$831.76	$1,778.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	53	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,096.48	Professional		$263.03	$537.03	$1,096.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $1,479.11	Professional		$478.63	$891.25	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,202.26	Professional		$338.84	$724.44	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,691.53 / $5,248.07	Facility		$1,230.27	$2,691.53	$5,248.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $512.86	Professional		$316.23	$389.05	$512.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,187.76 / $7,244.36	Facility		$537.03	$2,187.76	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $1,513.56	Professional		$275.42	$660.69	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,513.56 / $5,754.40	Facility		$602.56	$1,513.56	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $1,548.82	Professional		$602.56	$1,174.90	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $794.33	Facility		$407.38	$416.87	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $794.33	Professional		$407.38	$416.87	$794.33
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 $245.47 / $549.54 / $977.24	Professional		$245.47	$549.54	$977.24