Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,737.80 / $1,737.80	Facility		$457.09	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $851.14	Professional		$407.38	$524.81	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $954.99	Professional		$660.69	$660.69	$954.99
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 $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,071.52	Facility		$588.84	$588.84	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,041.74	Professional		$1,000.00	$1,412.54	$2,041.74
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,047.13	Professional		$616.60	$724.44	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Professional		$691.83	$691.83	$724.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,737.80	Facility		$457.09	$457.09	$1,737.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,023.29	Professional		$416.87	$537.03	$1,023.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,445.44 / $2,089.30	Professional		$0.60	$1,445.44	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $977.24	Facility		$489.78	$489.78	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $977.24	Professional		$489.78	$489.78	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,258.93 / $1,513.56	Facility		$416.87	$1,258.93	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $912.01	Professional		$457.09	$549.54	$912.01