Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $8,511.38	Facility		$831.76	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,621.81	Professional		$691.83	$912.01	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $1,584.89	Professional		$870.96	$891.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,513.56	Professional		$645.65	$891.25	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,479.11	Professional		$707.95	$933.25	$1,479.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,888.44 / $9,120.11	Facility		$1,318.26	$5,888.44	$9,120.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,258.93	Professional		$1,023.29	$1,071.52	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,981.07 / $8,317.64	Facility		$831.76	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,995.26	Professional		$691.83	$954.99	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,698.24	Professional		$1,148.15	$1,148.15	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $776.25 / $1,096.48	Facility		$269.15	$776.25	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $776.25 / $912.01	Professional		$269.15	$776.25	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $7,413.10	Facility		$1,348.96	$3,467.37	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,548.82	Professional		$676.08	$912.01	$1,548.82