Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,760.83 / $10,715.19	Facility		$691.83	$6,760.83	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,737.80	Professional		$323.59	$436.52	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $758.58	Professional		$371.54	$489.78	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $758.58	Professional		$524.81	$676.08	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $776.25	Professional		$371.54	$512.86	$776.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,585.78 / $12,022.64	Facility		$3,630.78	$7,585.78	$12,022.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,165.95 / $10,715.19	Facility		$812.83	$6,165.95	$10,715.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,258.93	Professional		$331.13	$501.19	$1,258.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $870.96	Facility		$537.03	$537.03	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $870.96	Professional		$501.19	$691.83	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $691.83	Facility		$389.05	$446.68	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $691.83	Professional		$371.54	$446.68	$691.83
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 $346.74 / $436.52 / $758.58	Professional		$346.74	$436.52	$758.58