Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,318.26 / $1,318.26	Facility		$338.84	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $776.25	Professional		$323.59	$446.68	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $645.65	Professional		$380.19	$575.44	$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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $776.25	Facility		$660.69	$660.69	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Professional		$489.78	$489.78	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,479.11	Professional		$707.95	$1,023.29	$1,479.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $776.25	Professional		$467.74	$537.03	$776.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,318.26	Facility		$338.84	$338.84	$1,318.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $776.25	Professional		$323.59	$446.68	$776.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,047.13 / $1,513.56	Professional		$0.60	$1,047.13	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $724.44	Facility		$524.81	$524.81	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $891.25	Professional		$524.81	$524.81	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,023.29 / $1,230.27	Facility		$338.84	$1,023.29	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $707.95	Professional		$346.74	$416.87	$707.95