Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,677.35 / $9,120.11	Facility		$426.58	$4,677.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $1,096.48	Professional		$234.42	$380.19	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $398.11	Professional		$223.87	$275.42	$398.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $549.54	Professional		$239.88	$331.13	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $512.86	Professional		$363.08	$467.74	$512.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $537.03	Professional		$245.47	$363.08	$537.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,760.83 / $13,182.57	Facility		$3,162.28	$6,760.83	$13,182.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,265.80 / $8,709.64	Facility		$426.58	$4,265.80	$8,709.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $954.99	Professional		$239.88	$380.19	$954.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $4,786.30 / $6,606.93	Facility		$363.08	$4,786.30	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $602.56	Professional		$331.13	$478.63	$602.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $912.01	Facility		$251.19	$346.74	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $912.01	Professional		$251.19	$309.03	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $524.81	Professional		$239.88	$309.03	$524.81