Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,905.46 / $2,818.38	Facility		$691.83	$1,905.46	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $2,754.23	Professional		$575.44	$851.14	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,096.48	Professional		$478.63	$562.34	$1,096.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $1,148.15	Professional		$645.65	$676.08	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,230.27	Professional		$512.86	$758.58	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $1,071.52	Professional		$831.76	$851.14	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,380.38	Professional		$537.03	$870.96	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,071.52	Professional		$691.83	$758.58	$1,071.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,698.24 / $2,818.38	Facility		$724.44	$1,698.24	$2,818.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $2,089.30	Professional		$575.44	$891.25	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,202.26	Professional		$933.25	$1,122.02	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $676.08	Facility		$630.96	$676.08	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $676.08	Professional		$478.63	$630.96	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,202.26	Professional		$575.44	$707.95	$1,202.26