Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,047.13 / $1,047.13	Facility		$269.15	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $691.83	Professional		$257.04	$323.59	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $602.56	Professional		$302.00	$446.68	$602.56
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 $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $660.69	Facility		$380.19	$380.19	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $380.19	Professional		$281.84	$281.84	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,258.93	Professional		$616.60	$870.96	$1,258.93
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $616.60	Professional		$371.54	$426.58	$616.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $478.63	Professional		$416.87	$416.87	$478.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,047.13	Facility		$269.15	$269.15	$1,047.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $660.69	Professional		$257.04	$346.74	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $19,054.61	Facility		$1,071.52	$1,071.52	$19,054.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $891.25 / $1,288.25	Professional		$0.60	$891.25	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Facility		$416.87	$416.87	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $588.84	Professional		$407.38	$416.87	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $812.83 / $977.24	Facility		$269.15	$812.83	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $562.34	Professional		$269.15	$331.13	$562.34