Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,096.48 / $1,096.48	Facility		$281.84	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $616.60	Professional		$269.15	$363.08	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $645.65	Professional		$446.68	$478.63	$645.65
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 $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $645.65	Facility		$398.11	$398.11	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $398.11	Professional		$288.40	$288.40	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,230.27	Professional		$602.56	$851.14	$1,230.27
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $645.65	Professional		$389.05	$457.09	$645.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $457.09	Professional		$426.58	$446.68	$457.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,096.48	Facility		$281.84	$281.84	$1,096.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $691.83	Professional		$269.15	$338.84	$691.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $912.01 / $1,258.93	Professional		$0.60	$912.01	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $870.96 / $1,047.13	Facility		$288.40	$870.96	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $616.60	Professional		$288.40	$363.08	$616.60