Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,890.45 / $8,511.38	Facility		$676.08	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $794.33	Professional		$229.09	$380.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $398.11	Professional		$354.81	$354.81	$398.11
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 $338.84 / $389.05 / $616.60	Professional		$338.84	$389.05	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,995.26 / $3,981.07	Facility		$354.81	$1,995.26	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $645.65	Professional		$229.09	$354.81	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Professional		$407.38	$549.54	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $630.96	Professional		$218.78	$380.19	$630.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,630.78 / $10,000.00	Facility		$1,148.15	$3,630.78	$10,000.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $457.09	Professional		$398.11	$436.52	$457.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,818.38 / $8,317.64	Facility		$676.08	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $933.25	Professional		$257.04	$457.09	$933.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $323.59 / $794.33	Facility		$309.03	$323.59	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $794.33	Professional		$323.59	$616.60	$794.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $371.54	Facility		$186.21	$190.55	$371.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $588.84	Professional		$186.21	$363.08	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,951.21 / $8,317.64	Facility		$851.14	$2,951.21	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $602.56	Professional		$218.78	$354.81	$602.56