Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,890.45 / $8,511.38	Facility		$831.76	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $562.34 / $1,202.26	Professional		$173.78	$562.34	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Professional		$165.96	$165.96	$181.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $1,412.54	Professional		$186.21	$457.09	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,258.93	Professional		$891.25	$1,122.02	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,000.00 / $1,862.09	Professional		$234.42	$1,000.00	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,606.93 / $15,488.17	Facility		$1,513.56	$6,606.93	$15,488.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,818.38 / $8,317.64	Facility		$724.44	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $660.69 / $1,659.59	Professional		$177.83	$660.69	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,659.59 / $1,905.46	Facility		$416.87	$1,659.59	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,288.25 / $1,548.82	Professional		$436.52	$1,288.25	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $416.87 / $758.58	Facility		$169.82	$416.87	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $416.87 / $741.31	Professional		$169.82	$416.87	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,964.78	Facility		$1,348.96	$3,548.13	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $1,318.26	Professional		$181.97	$436.52	$1,318.26