Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $977.24 / $6,165.95	Facility		$100.00	$977.24	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $323.59	Professional		$66.07	$120.23	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $114.82	Professional		$72.44	$85.11	$114.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $162.18	Professional		$91.20	$144.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $151.36	Professional		$63.10	$89.13	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $154.88	Professional		$112.20	$141.25	$154.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $162.18	Professional		$70.79	$109.65	$162.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $457.09 / $1,023.29	Facility		$0.50	$457.09	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $104.71	Professional		$85.11	$97.72	$104.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,047.13 / $5,754.40	Facility		$104.71	$1,047.13	$5,754.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $245.47	Professional		$66.07	$104.71	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $117.49	Facility		$67.61	$79.43	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $117.49	Professional		$64.57	$87.10	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $616.60 / $3,890.45	Facility		$223.87	$616.60	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $151.36	Professional		$60.26	$87.10	$151.36