Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,606.93 / $12,882.50	Facility		$1,380.38	$6,606.93	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $691.83 / $3,801.89	Professional		$229.09	$691.83	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $3,715.35	Professional		$213.80	$239.88	$3,715.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,912.51 / $57,543.99	Facility		$8,709.64	$8,912.51	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,698.24 / $3,311.31	Professional		$275.42	$1,698.24	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,467.37	Professional		$2,454.71	$3,162.28	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,454.71 / $3,630.78	Professional		$389.05	$2,454.71	$3,630.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $17,782.79	Facility		$3,890.45	$10,964.78	$17,782.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,456.54 / $13,182.57	Facility		$1,023.29	$6,456.54	$13,182.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,023.29 / $4,365.16	Professional		$245.47	$1,023.29	$4,365.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,344.23 / $4,786.30	Facility		$501.19	$2,344.23	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $3,090.30 / $4,073.80	Professional		$426.58	$3,090.30	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $467.74 / $2,454.71	Facility		$239.88	$467.74	$2,454.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $2,238.72	Professional		$234.42	$467.74	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $15,488.17	Facility		$2,089.30	$3,981.07	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $3,090.30	Professional		$263.03	$645.65	$3,090.30