Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,754.23 / $7,762.47	Facility		$467.74	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $4,365.16	Professional		$269.15	$537.03	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $2,041.74	Professional		$204.17	$257.04	$2,041.74
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 $1,949.84 / $2,290.87 / $4,897.79	Professional		$1,949.84	$2,290.87	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $1,819.70	Facility		$457.09	$912.01	$1,819.70
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $630.96 / $3,981.07	Professional		$275.42	$630.96	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $5,495.41	Professional		$2,818.38	$3,801.89	$5,495.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $3,311.31 / $4,466.84	Professional		$323.59	$3,311.31	$4,466.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,737.80 / $3,981.07	Facility		$537.03	$1,737.80	$3,981.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $562.34	Professional		$288.40	$354.81	$562.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,511.89 / $7,762.47	Facility		$467.74	$2,511.89	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $5,495.41	Professional		$281.84	$660.69	$5,495.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,348.96 / $5,623.41	Facility		$616.60	$1,348.96	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,073.80 / $5,888.44	Professional		$616.60	$4,073.80	$5,888.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $407.38 / $2,344.23	Facility		$181.97	$407.38	$2,344.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $407.38 / $2,398.83	Professional		$181.97	$407.38	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,089.30 / $4,265.80	Facility		$549.54	$2,089.30	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $562.34 / $3,630.78	Professional		$251.19	$562.34	$3,630.78