Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,365.16 / $9,549.93	Facility		$812.83	$4,365.16	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,584.89	Professional		$426.58	$562.34	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $933.25	Professional		$446.68	$478.63	$933.25
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 $416.87 / $602.56 / $891.25	Professional		$416.87	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Professional		$436.52	$602.56	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $691.83	Professional		$489.78	$630.96	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $912.01	Professional		$457.09	$602.56	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,413.10 / $19,054.61	Facility		$2,344.23	$7,413.10	$19,054.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,801.89 / $9,120.11	Facility		$758.58	$3,801.89	$9,120.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,479.11	Professional		$436.52	$630.96	$1,479.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Facility		$776.25	$776.25	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,000.00	Professional		$616.60	$724.44	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $588.84	Facility		$407.38	$407.38	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $588.84	Professional		$407.38	$436.52	$588.84
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 $416.87 / $562.34 / $954.99	Professional		$416.87	$562.34	$954.99