Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $7,585.78	Facility		$1,096.48	$2,398.83	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,137.96	Professional		$912.01	$1,071.52	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
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 $1,000.00 / $1,023.29 / $1,949.84	Professional		$1,000.00	$1,023.29	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $2,570.40	Facility		$1,047.13	$2,137.96	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,238.72	Professional		$933.25	$1,348.96	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,187.76	Professional		$1,148.15	$1,659.59	$2,187.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,187.76	Professional		$1,000.00	$1,230.27	$2,187.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $9,772.37	Facility		$3,162.28	$3,801.89	$9,772.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $7,585.78	Facility		$1,202.26	$2,398.83	$7,585.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,754.23	Professional		$933.25	$1,230.27	$2,754.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,659.59 / $2,238.72	Professional		$223.87	$1,659.59	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $954.99 / $1,380.38	Professional		$933.25	$954.99	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,090.30	Facility		$1,288.25	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Professional		$870.96	$1,174.90	$1,862.09