Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,089.30 / $7,244.36	Facility		$213.80	$2,089.30	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $891.25	Professional		$125.89	$213.80	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $229.09	Professional		$117.49	$158.49	$229.09
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $380.19	Professional		$147.91	$234.42	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $407.38	Professional		$288.40	$371.54	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $446.68	Professional		$213.80	$316.23	$446.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,630.27	Facility		$933.25	$1,445.44	$2,630.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,659.59 / $6,456.54	Facility		$223.87	$1,659.59	$6,456.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $616.60	Professional		$131.83	$239.88	$616.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,202.26	Facility		$933.25	$933.25	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $416.87	Facility		$147.91	$251.19	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $416.87	Professional		$147.91	$251.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,318.26 / $3,890.45	Facility		$223.87	$1,318.26	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $380.19	Professional		$141.25	$223.87	$380.19