Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,025.60 / $9,549.93	Facility		$1,318.26	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,584.89	Professional		$616.60	$794.33	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $602.56	Professional		$549.54	$549.54	$602.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,202.26	Professional		$575.44	$602.56	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $870.96	Professional		$630.96	$630.96	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,258.93	Professional		$512.86	$794.33	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $812.83	Professional		$724.44	$724.44	$812.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,128.61 / $9,549.93	Facility		$1,122.02	$5,128.61	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $2,137.96	Professional		$616.60	$851.14	$2,137.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $5,754.40	Facility		$3,019.95	$3,019.95	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,412.54	Professional		$933.25	$933.25	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $758.58	Facility		$478.63	$478.63	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $758.58	Professional		$478.63	$478.63	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $12,022.64	Facility		$2,089.30	$4,168.69	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,258.93	Professional		$562.34	$758.58	$1,258.93