Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,570.88 / $12,302.69	Facility		$691.83	$4,570.88	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $3,162.28	Professional		$380.19	$891.25	$3,162.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $2,290.87	Professional		$407.38	$524.81	$2,290.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $630.96	Professional		$588.84	$588.84	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	53	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $3,630.78	Professional		$389.05	$707.95	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $4,897.79	Professional		$2,884.03	$3,981.07	$4,897.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,630.27 / $3,801.89	Professional		$436.52	$2,630.27	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $13,489.63 / $27,542.29	Facility		$3,801.89	$13,489.63	$27,542.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,801.89 / $12,022.64	Facility		$602.56	$3,801.89	$12,022.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,071.52 / $4,168.69	Professional		$407.38	$1,071.52	$4,168.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $5,128.61	Facility		$630.96	$630.96	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $4,570.88	Professional		$501.19	$794.33	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $2,187.76	Facility		$407.38	$416.87	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $2,187.76	Professional		$407.38	$416.87	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $21,379.62	Facility		$2,454.71	$5,495.41	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,071.52 / $2,818.38	Professional		$398.11	$1,071.52	$2,818.38