Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $4,265.80	Facility		$151.36	$1,047.13	$4,265.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $371.54 / $371.54 / $602.56	Facility	52	$371.54	$371.54	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $549.54	Professional		$87.10	$162.18	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $147.91	Professional		$89.13	$114.82	$147.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $239.88	Professional		$131.83	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $213.80	Professional		$93.33	$131.83	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $95.50 / $223.87	Professional		$4.79	$95.50	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $234.42	Professional		$104.71	$154.88	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $1,584.89	Facility		$467.74	$851.14	$1,584.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,000.00 / $3,981.07	Facility		$158.49	$1,000.00	$3,981.07
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $371.54 / $371.54 / $602.56	Facility	52	$371.54	$371.54	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $371.54	Professional		$87.10	$151.36	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $125.89	Facility		$75.86	$93.33	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $128.82	Professional		$75.86	$93.33	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,071.52 / $3,890.45	Facility		$223.87	$1,071.52	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $208.93	Professional		$79.43	$120.23	$208.93