Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $6,456.54	Facility		$1,096.48	$1,096.48	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $4,570.88	Professional		$933.25	$1,380.38	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,137.96	Professional		$1,023.29	$1,479.11	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,290.87	Professional		$1,047.13	$1,348.96	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $3,090.30	Professional		$1,047.13	$1,698.24	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,290.87	Professional		$1,000.00	$1,445.44	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $6,456.54	Facility		$1,096.48	$1,096.48	$6,456.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $3,630.78	Professional		$977.24	$1,584.89	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,290.87	Facility		$1,000.00	$1,000.00	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $2,454.71	Professional		$1,000.00	$1,862.09	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,819.70	Facility		$1,122.02	$1,122.02	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,148.15 / $1,659.59	Professional		$416.87	$1,148.15	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,089.30 / $6,309.57	Facility		$812.83	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,089.30	Professional		$1,047.13	$1,318.26	$2,089.30