Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,128.61 / $12,589.25	Facility		$831.76	$5,128.61	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,862.09	Professional		$371.54	$512.86	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $831.76	Professional		$501.19	$660.69	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $831.76	Professional		$363.08	$549.54	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $575.44	Professional		$407.38	$524.81	$575.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $851.14	Professional		$380.19	$549.54	$851.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $14,454.40 / $20,417.38	Facility		$4,073.80	$14,454.40	$20,417.38
Highmark BCBS Facility/Professional Facility Modifier 22 Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility	22	$6,165.95	$6,165.95	$6,165.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,265.80 / $11,481.54	Facility		$776.25	$4,265.80	$11,481.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,513.56	Professional		$380.19	$562.34	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Facility		$776.25	$776.25	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $912.01	Professional		$588.84	$741.31	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $575.44	Facility		$288.40	$478.63	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $575.44	Professional		$288.40	$478.63	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $16,595.87	Facility		$1,348.96	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $831.76	Professional		$363.08	$501.19	$831.76