Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,071.52	Facility		$1,047.13	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,096.48	Professional		$1,000.00	$1,047.13	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $5,011.87	Facility		$707.95	$831.76	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $724.44 / $851.14	Professional		$154.88	$724.44	$851.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $223.87	Professional		$120.23	$162.18	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,071.52 / $1,071.52	Facility		$1,047.13	$1,071.52	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,096.48	Professional		$1,000.00	$1,047.13	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $245.47	Professional		$0.60	$229.09	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $1,230.27	Facility		$223.87	$257.04	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $1,230.27	Professional		$223.87	$309.03	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00