Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,949.84	Professional		$602.56	$891.25	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $812.83	Professional		$707.95	$741.31	$812.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $1,348.96	Professional		$794.33	$831.76	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,380.38	Professional		$630.96	$831.76	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,202.26	Professional		$870.96	$870.96	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,288.25	Professional		$660.69	$776.25	$1,288.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,709.64 / $13,489.63	Facility		$5,011.87	$8,709.64	$13,489.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,288.25	Professional		$776.25	$1,000.00	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $2,041.74	Professional		$630.96	$912.01	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $8,709.64	Facility		$4,365.16	$5,370.32	$8,709.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,348.96	Professional		$812.83	$812.83	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $912.01	Facility		$416.87	$794.33	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $912.01	Professional		$691.83	$812.83	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $12,882.50	Facility		$1,348.96	$3,548.13	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,380.38	Professional		$616.60	$812.83	$1,380.38