Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $8,317.64	Facility		$575.44	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $676.08 / $1,737.80	Professional		$199.53	$676.08	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $309.03	Professional		$158.49	$263.03	$309.03
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 $281.84 / $309.03 / $309.03	Professional		$281.84	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $794.33 / $2,398.83	Facility		$346.74	$794.33	$2,398.83
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $1,548.82	Professional		$213.80	$416.87	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,621.81	Professional		$831.76	$1,148.15	$1,621.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,023.29 / $1,479.11	Professional		$269.15	$1,023.29	$1,479.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $11,481.54	Facility		$2,951.21	$5,128.61	$11,481.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,691.53 / $8,317.64	Facility		$616.60	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $776.25 / $2,238.72	Professional		$208.93	$776.25	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,862.09	Facility		$1,288.25	$1,288.25	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,344.23	Professional		$1,202.26	$1,659.59	$2,344.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $407.38 / $2,951.21	Facility		$112.20	$407.38	$2,951.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $933.25	Professional		$162.18	$204.17	$933.25
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 $190.55 / $616.60 / $1,445.44	Professional		$190.55	$616.60	$1,445.44