Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,890.45 / $8,511.38	Facility		$831.76	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $1,122.02	Professional		$234.42	$380.19	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $707.95	Professional		$346.74	$478.63	$707.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $724.44 / $1,047.13	Professional	50	$524.81	$724.44	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $707.95	Professional		$245.47	$389.05	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $691.83	Professional		$489.78	$630.96	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $660.69	Professional		$239.88	$446.68	$660.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,413.10 / $9,549.93	Facility		$1,202.26	$7,413.10	$9,549.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $8,317.64	Facility		$831.76	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $1,122.02	Professional		$239.88	$426.58	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $891.25	Facility		$281.84	$281.84	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $724.44 / $870.96	Professional		$263.03	$724.44	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $398.11 / $416.87	Facility		$229.09	$398.11	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $416.87	Professional		$229.09	$398.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $8,912.51	Facility		$912.01	$2,754.23	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $616.60	Professional		$213.80	$346.74	$616.60