Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,398.83 / $7,413.10	Facility		$363.08	$2,398.83	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $257.04 / $1,148.15	Professional		$69.18	$257.04	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $107.15	Professional		$50.12	$61.66	$107.15
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 $107.15 / $173.78 / $954.99	Professional		$107.15	$173.78	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $870.96 / $2,290.87	Facility		$120.23	$870.96	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $199.53 / $933.25	Professional		$72.44	$199.53	$933.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,122.02	Professional		$588.84	$776.25	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $575.44 / $912.01	Professional		$83.18	$575.44	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,011.87 / $8,912.51	Facility		$1,122.02	$5,011.87	$8,912.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $95.50	Professional		$66.07	$70.79	$95.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,344.23 / $7,244.36	Facility		$380.19	$2,344.23	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $371.54 / $1,380.38	Professional		$70.79	$371.54	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $1,348.96	Facility		$104.71	$117.49	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,023.29 / $1,348.96	Professional		$104.71	$1,023.29	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $549.54 / $831.76	Facility		$69.18	$549.54	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $549.54 / $831.76	Professional		$46.77	$549.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $6,025.60	Facility		$549.54	$2,398.83	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $177.83 / $831.76	Professional		$66.07	$177.83	$831.76