Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $2,238.72	Facility		$575.44	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,096.48	Professional		$489.78	$660.69	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
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 $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Facility		$891.25	$891.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Professional		$660.69	$660.69	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,398.83	Professional		$1,174.90	$1,659.59	$2,398.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,318.26	Professional		$794.33	$891.25	$1,318.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $912.01	Professional		$870.96	$870.96	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $2,238.72	Facility		$575.44	$575.44	$2,238.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,148.15	Professional		$489.78	$660.69	$1,148.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,698.24 / $2,454.71	Professional		$0.60	$1,698.24	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Facility		$616.60	$616.60	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,318.26	Professional		$616.60	$616.60	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $1,819.70	Facility		$501.19	$1,513.56	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,174.90	Professional		$562.34	$691.83	$1,174.90