Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,570.40 / $7,762.47	Facility		$467.74	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $977.24	Professional		$223.87	$457.09	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $331.13	Professional		$190.55	$269.15	$331.13
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 $316.23 / $346.74 / $707.95	Professional		$316.23	$346.74	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $891.25 / $1,778.28	Facility		$380.19	$891.25	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $831.76	Professional		$239.88	$436.52	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,096.48	Professional		$371.54	$660.69	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $891.25	Professional		$281.84	$549.54	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,344.23 / $3,981.07	Facility		$812.83	$2,344.23	$3,981.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,187.76 / $7,244.36	Facility		$489.78	$2,187.76	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $1,096.48	Professional		$234.42	$489.78	$1,096.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $2,884.03	Facility		$537.03	$1,000.00	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,148.15	Professional		$537.03	$851.14	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $630.96	Facility		$218.78	$416.87	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $512.86	Professional		$218.78	$416.87	$512.86
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 $213.80 / $416.87 / $691.83	Professional		$213.80	$416.87	$691.83