Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,137.96 / $4,365.16	Facility		$354.81	$2,137.96	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $831.76	Professional		$100.00	$239.88	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $281.84	Professional		$100.00	$138.04	$281.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $457.09	Professional		$251.19	$371.54	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $457.09	Professional		$114.82	$213.80	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $575.44	Professional		$331.13	$457.09	$575.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $457.09	Professional		$213.80	$323.59	$457.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,584.89 / $2,818.38	Facility		$660.69	$1,584.89	$2,818.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $263.03	Professional		$107.15	$257.04	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,995.26 / $4,168.69	Facility		$331.13	$1,995.26	$4,168.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $691.83	Professional		$104.71	$251.19	$691.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $602.56 / $5,754.40	Facility		$288.40	$602.56	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $562.34	Professional		$275.42	$288.40	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $117.49 / $323.59	Facility		$16.60	$117.49	$323.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $123.03 / $323.59	Professional		$27.54	$123.03	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $407.38	Professional		$104.71	$213.80	$407.38