Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,380.38	Professional		$346.74	$436.52	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $1,023.29	Professional		$660.69	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $851.14	Professional		$407.38	$537.03	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $691.83	Professional		$478.63	$616.60	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $831.76	Professional		$398.11	$524.81	$831.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,202.26	Professional		$363.08	$512.86	$1,202.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $851.14	Facility		$512.86	$512.86	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $891.25	Professional		$467.74	$676.08	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $436.52 / $436.52	Facility		$407.38	$436.52	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $436.52	Professional		$398.11	$416.87	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $851.14	Professional		$380.19	$478.63	$851.14